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Federal Healthcare Fraud

FedCrime
  • A Florida ophthalmologist faces 76 counts of Medicare-related charges, for fraudulent bills totaling $190 million – based on unneeded treatments, filed claims for procedures that were never performed as well as medicine that was never purchased. If convicted, the 62-year-old, currently free on an $18 million bond, faces up to 610 years in prison.

Source:  Medicare fraud trial starting for West Palm doctor tied to Menendez probe, Sun Sentinel (March 6, 2017)  <<http://www.sun-sentinel.com/local/ palm-beach/fl-reg-salomon-melgen-trial-starts-20170306-story.html>>

  • On March 3, 2017, two Miami residents pleaded guilty to fraud charges stemming from their roles in a $20 million home health care fraud scheme. Pursuant to their plea agreements, the defendants admitted that they were co-owners and operators of seven home health care agencies that recruited and paid nominees to falsely represent themselves as the owners of the home health care agencies, thereby concealing their ownership interests from Medicare and the general public.  The defendants further admitted that they paid bribes and kickbacks to medical professionals, including doctors, in return for the provision of prescriptions for home health care services and referrals of Medicare beneficiaries to their home health care agencies – and also that they paid patient recruiters bribes and kickbacks in return for referrals of Medicare patients to the home health care agencies; and that in some cases, the Medicare beneficiaries did not need the home health care services for which Medicare paid.  The defendants also admitted that, as a result of this fraudulent scheme, Medicare paid approximately $20 million to the above-referenced home health care agencies.

Source:   Two Women Plead Guilty to Orchestrating $20 Million Medicare Fraud Scheme at Seven Miami Area Home Health Agencies, U.S. Dept. of Justice Press Release (S.D. Fla., March 3, 2017)  <<https://www.justice.gov/ usao-sdfl/pr/two-women-plead-guilty-orchestrating-20-million-medicare-fraud-scheme-seven-miami-area>>

If You Have Been Charged with a Federal Healthcare Crime

If you or your company has been charged with healthcare fraud or with soliciting or receiving healthcare kickbacks, these charges have probably been filed in a federal court.  Being charged with a Federal healthcare crime can result in you or your company being suspended from the Medicare / Medicaid program. In the event you have been accused of a federal crime such as healthcare fraud, it is critical that you seek the advice and counsel of a lawyer that is experienced in federal criminal law and in federal criminal court.  While many lawyers practice in the field of criminal defense, very few are experienced in defending federal criminal charges in federal criminal court.  Deric Zacca is an experienced federal criminal defense lawyer who has handled over 100 federal criminal cases.  Call him today for an initial consultation.