December 9, 2022

Chats du Monde

World of Health & Pet

South Florida Well being Care Clinic Homeowners, Health care provider, Other people Sentenced in Professional medical Billing Fraud Scheme | USAO-SDFL

3 min read

Miami, Florida – Yesterday, a federal district decide in Miami sentenced the last of 10 defendants for her part in a wellness treatment fraud plan involving 3 physical remedy clinics that recruited and paid out kickbacks to beneficiaries of Blue Cross Blue Defend wellbeing benefit programs (BCBS) and submitted wrong claims to BCBS for services that the clinics never presented to the beneficiaries or have been not medically needed. 

The three South Florida clinics involved in the rip-off were Existence Blue Healthcare Middle, Corp. (“Life Blue”), Blue Everyday living Professional medical Center, LLC (“Blue Life”), and Miami Health care Remedy (“Miami Medical”). The defendants, all South Florida citizens now convicted and sentenced, involve clinic proprietors, a physician, affected person recruiters, a actual physical therapist assistant, and an workplace employee. 

The conspiracy resulted in more than $17 million in bogus claims being billed to BCBS, of which BCBS paid out close to $5 million.  Most of the claims were being for unneeded or in no way-offered electrical stimulation, ultrasound therapy, therapeutic workout, and other actual physical therapy strategies, as perfectly as for allergy exams and resilient health care machines.  The conspirators put in the money they received from BCBS on particular goods and to more the fraud.

Each and every defendant formerly pled guilty to 1 count of conspiracy to commit overall health care fraud.  United States District Judge K. Michael Moore sentenced the defendants as follows:

  • Jorge Gonzalez Perez, 57, (owner of Lifetime Blue and Blue Life clinics) was sentenced to 120 months in jail, adopted by a few decades supervised release, and requested to pay back $4,143,892.16 in restitution
  • Orlando Leiva, 66, (a medical professional at Lifetime Blue and Miami Health-related) was sentenced to 57 months in prison, adopted by three a long time supervised launch, and ordered to pay back $2,867,770.57 in restitution
  • David Vladimir Sacerio, 30, (co-owner of Miami Healthcare) was sentenced to 51 months in prison, adopted by a few several years supervised launch, and requested to pay back $686,086.33 in restitution
  • Kiamy Perez, 36, (co-operator of Miami Clinical) was sentenced to 34 months in jail, followed by three decades supervised launch, and purchased to pay $686,086.33 in restitution
  • Enry Guzman, 43, (client recruiter) was sentenced to 33 months in prison, followed by a few decades supervised release, and ordered to pay out $228,075.73 in restitution
  • Kyrenia Maquiera Rodriguez, 40, (actual physical remedy assistant) was sentenced to 30 months in jail, followed by three yrs supervised launch a few several years supervised release, and requested to pay back $686,086.33 in restitution
  • Freymil Lozada, 34, (affected individual recruiter) was sentenced to 27 months in prison, adopted by a few yrs supervised release, and ordered to shell out $184,393.52 in restitution and
  • Haniel Rodriguez, 45, (affected person recruiter) was sentenced to 24 months in jail, adopted by 3 decades supervised release, and requested to pay out $198,540.57 in restitution.

Two defendants were being purchased to spend restitution: Brian McIntosh, 53, (affected person recruiter) in the total of $119,174.66, and Melissa Cruz, 21, (Miami Healthcare business staff) in the sum of $686,086.33.

Juan Antonio Gonzalez, U.S. Attorney for the Southern District of Florida, and George L. Piro, Specific Agent in Demand, FBI Miami, designed the announcement.

FBI Miami investigated the scenario.  Assistant U.S. Attorney Shannon Shaw prosecuted the circumstance.  Assistant U.S. Lawyer Annika Miranda is managing asset forfeiture.

Similar court docket documents and details could be discovered on the web site of the District Court for the Southern District of Florida at www.flsd.uscourts.gov or at http://pacer.flsd.uscourts.gov, under scenario amount 21-cr-20376.

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