August 1, 2014

Olufunke Ibiyemi Fadojutimi, a registered nurse and former owner of Lutemi Medical Supply, a durable medical equipment (DME) supply company, was found guilty of health care fraud relating to a 10-year scheme in which Medicare was fraudulently billed more than $8 million for DME that was not medically necessary. The trial evidence showed that between September 2003 and January 2013, Fadojutimi and others paid cash kickbacks to patient recruiters and...

July 29, 2014

Armando Buchillon, former director of nursing for now defunct home health care company Anna Nursing Services Corp., pleaded guilty to participating in a $7M health care fraud scheme. According to court documents, Buchillon and his co-conspirators regularly falsified patient documents to make it appear they qualified for and received home health care services when in fact they did not. He also paid kickbacks and bribes to patient recruiters in return...

July 10, 2014

Four patient recruiters pleaded guilty in connection with a $20M health care fraud scheme involving the now defunct Miami-based home health care agency Trust Care Health Services. The defendants recruited patients for Trust Care and solicited and received kickbacks and bribes from the owners and operators of Trust Care in return for allowing the agency to bill the Medicare program on behalf of the recruited Medicare patients for home health...

June 27, 2014

Euridice Borroto, a patient recruiter for a Miami home health care agency pleaded guilty today in connection with a health care fraud scheme involving defunct home health care company Nestor’s Health Services Inc. The owner and operator of Nestor pleaded guilty to charges related to the scheme earlier this month. According to court documents, Borroto solicited and received kickbacks and bribes from Nestor in return for recruiting and providing patients...

June 23, 2014

Cruz Sonia Collado, the owner and operator of Nestor’s Health Services, a now-defunct Miami home health care agency, pleaded guilty to a $6.5M million health care fraud scheme. According to the government, Collado and her co-conspirators operated Nestor for the purpose of billing Medicare for expensive physical therapy and home health care services that were not medically necessary or never provided. As part of the scheme, Collado allegedly also paid...

June 19, 2014

Michael Mendoza, president of patient recruiting firm Network Resource Consultant Inc., pleaded guilty for his role in a $205M Medicare fraud scheme. According to court documents, Mendoza made an agreement with Lawrence Duran, owner of American Therapeutic Corporation, a now defunct partial hospitalization program located in Miami, under which Mendoza would refer residents living in assisted living facilities to ATC for medically unnecessary services in exchange for illegal kickbacks. Duran...

June 18, 2014

Lizette Garcia, a former office worker at Anna Nursing Services Corp., a now defunct Miami home health care company, pleaded guilty in connection with a $7M health care fraud scheme under which Anna Nursing paid kickbacks and bribes to patient recruiters in return for providing patients to Anna Nursing for home health care and therapy services that were medically unnecessary or never provided. DOJ

April 30, 2014

A federal jury in Detroit convicted a physical therapist, physical therapy assistant and unlicensed doctor for their participation in a $15M Medicare fraud scheme at Detroit area companies Physicians Choice Home Health Care, Quantum Home Care, First Care Home Health Care, Moonlite Home Care and Phoenix Visiting Physicians. According to evidence presented at trial, these companies operated a fraudulent scheme to bill Medicare for home health care services that were...

February 25, 2014

Diagnostic Imaging Group agreed to pay $15.5M to resolve allegations that its diagnostic testing facility falsely billed federal and state health care programs for tests that were not performed or not medically necessary and by paying kickbacks to physicians. The allegations were first raised in three qui tam lawsuits filed under the whistleblower provisions of the False Claims Act. DOJ

February 19, 2014

Medical device manufacturer EndoGastric Solutions agreed to pay up to $5.25M to resolve allegations that it violated the False Claims Act by misleading health care providers about how to bill federal health care programs for a procedure using a device manufactured by the company and by paying kickbacks. The allegations were first raised in a qui tam lawsuit filed under the whistleblower provisions of the False Claims Act. DOJ