Wednesday, November 30, 2022

Miami man charged with million-dollar fraud on Medicare and Medicaid programs

A Miami businessman has been charged with running a money laundering operation for allegedly siphoning off millions of dollars in fraudulent proceeds from the government’s Medicare and Medicaid programs.

Julio Arsenio Rodriguez The 61-year-old is the most recent case in a spate of million-dollar scams against health system funds in South Florida, which has become the national capital of Medicare fraud.

“These proceeds came from multiple clinics located throughout South Florida that allegedly provided durable medical equipment (DME) to eligible recipients,” said a statement from the US Attorney’s Office for the Southern District of Florida.

However, it was known that this equipment was never requested, needed or supplied; Instead the clinics received millions of dollars from Medicare and Medicaid and the defendants used their companies to launder the proceeds.

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DME is ordered by a registered medical practitioner or other healthcare provider and is used in the home. Blood sugar meters, hospital beds, oxygen equipment and accessories, wheelchairs and scooters, among others.

The prosecutor’s office said Rodriguez faces one count of conspiracy to commit money laundering and 14 other counts of money laundering, for which he could face a prison sentence of 10 to 20 years each.

“A federal district judge will determine any sentence after considering US sentencing guidelines and other legal factors,” the statement from the prosecutor’s office explained.

The Centers for Medicare and Medicaid Services (CMS) is a federal agency of the United States Department of Health and Human Services (HHS) that administers the Medicare program and the Medicaid program, the children’s health insurance program for state governments. Works in partnership with. (CHIP) and the health insurance portability standard.

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In May of this year, a federal judge sentenced A group of Miami residents who were involved in a Medicare fraud scheme Which turned out to be over $17 million. Three clinics were involved in making false claims for services they never provided.

Two women who own a pharmacy in Florida, He was accused by the prosecutor’s office of defrauding Medicare of $12 million. The investigation determined that he paid bribes in order to divert Medicare health program beneficiaries to his business and thus stole the million-dollar figure.

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