nine florida residents was arrested by the Federal Bureau of Investigation (FBI) this Tuesday after having Accused of orchestrating health fraud scheme $37 million in the south of the state.
Face various conspiracy charges to fraud and health care fraud Arislidis Fernandez Delmas, 32 years old; His mother Leidis Delmas Garcia, 51 years old; her husband Pedro Hugo Prieto Garcia32 years old; Daimara Boroto Garcia32 years old; Elias Casas Maurino52 years; Yohana Iriza (aka Yohana Lozada), 51 years old; her ex husband Gabriel Lozada, 50 years old; your son Anthony Lozada, 23 years old; and JJulio Acosta Perez40, the Department of Justice for the Southern District of Florida said in a statement released Tuesday.
As per the information provided by the prosecution, the group may have conspired cheated about 37 million dollars In health care claims by 30 physiotherapy clinics to Blue Cross Blue Shield Insurance Company.
people who may be related by blood bribed beneficiaries since 2018 The total number of health insurance plans administered by Blue Cross and these kickbacks offered to employees JetBlue Airways, AT&T Inc. and TJX Companies Inc., Motivating them to serve as patients at various physical therapy clinics in South Florida.
Subsequently, the owners of the defendants’ clinic submitted fraudulent health insurance claims to Blue Cross. health care benefits that were medically unnecessary And they were not even provided.
Members of the group are also accused Pay Licensed Massage Therapists to act as “nominal owners” and operators of physiotherapy clinics, allowing them to circumvent the licensing requirements and legal action of medical clinics.
This allowed ringleaders to attempt to circumvent various licensing requirements for medical clinics and avoid criminal prosecution.
If convicted, suspects face punishment Up to 10 years in prison for each charge.
If convicted, they face up to 10 years in prison for each charge. A federal district judge will determine the sentence after considering US sentencing guidelines and other legal factors.
Several cases of healthcare scams have previously surfaced on social networks and official United States government sites.
a 61-year-old man, Julio Arsenio RodriguezFraudulently generated millions of dollars in revenue from the government’s Medicare and Medicaid programs through multiple clinics located throughout South Florida that allegedly provided durable medical equipment (DME) to eligible recipients.
to defraud the same companies, another Miami businessman sentenced to more than seven years in prison after trying to cover up his crime by creating a shell company called Myers Professional Services based in Ft. Myers, Florida, and declaring a false owner in corporate and bank records.
The person purchased a list of Medicare “patients” and then instructed a “biller” to submit fraudulent claims to the health benefits program for durable medical equipment that was not prescribed by a doctor, medically necessary was not, and was not being provided to any Medicare or Medicaid recipients.