Five Miami residents in connection to several Miami-area home healthcare companies pleaded guilty to various healthcare fraud charges, according to a news release by the Department of Justice.
Patient recruiter Eduardo Romero pleaded guilty to conspiring with, soliciting and providing Medicare beneficiaries to the ABC Home Health Care and Florida Home Health Care Providers. The companies used beneficiaries to bill Medicare for unnecessary home healthcare services. In exchange, Mr. Romero received kickbacks and bribes from the owners of the companies.
Mr. Romero also admitted to paying kickbacks and bribes to the owners and operators of Courtesy Medical Group in exchange for the prescriptions for unnecessary home healthcare services. Medicare was billed approximately $391,593 for purported home healthcare services that were not medically necessary or were not provided for the recruited patients.
Nurses Francisco Portillo and Isis Torres pleaded guilty to falsifying patient files for ABC and Florida Home Health to make it appear that the patients qualified for home health care services, when in fact they did not qualify. In some instances, patients never received any treatments. Together, they are responsible for approximately $670,000 in fraudulent Medicare billing.
William Madrigal pleaded guilty to conspiring with, soliciting and receiving kickbacks from ABC and Florida Home Health. He admitted to allowing the companies to use his Medicare beneficiary information to bill Medicare for care services for which he did not quality.
The owners and operators of ABC and Florida Home Health and Mr. Fonseca pleaded guilty and are awaiting sentencing.
Read the Department of Justice's news release on the ABC Home Health and Florida Home Health fraud.
Read other coverage on healthcare fraud in Miami:
- Owner of Miami Infusion Clinic Charged in $23M Healthcare Fraud Scheme
- Operator of Miami Home Health Company Arrested for Healthcare Fraud
- Miami Clinic Operators Convicted in $51M Medicare Fraud for HIV Infusion
Patient recruiter Eduardo Romero pleaded guilty to conspiring with, soliciting and providing Medicare beneficiaries to the ABC Home Health Care and Florida Home Health Care Providers. The companies used beneficiaries to bill Medicare for unnecessary home healthcare services. In exchange, Mr. Romero received kickbacks and bribes from the owners of the companies.
Mr. Romero also admitted to paying kickbacks and bribes to the owners and operators of Courtesy Medical Group in exchange for the prescriptions for unnecessary home healthcare services. Medicare was billed approximately $391,593 for purported home healthcare services that were not medically necessary or were not provided for the recruited patients.
Nurses Francisco Portillo and Isis Torres pleaded guilty to falsifying patient files for ABC and Florida Home Health to make it appear that the patients qualified for home health care services, when in fact they did not qualify. In some instances, patients never received any treatments. Together, they are responsible for approximately $670,000 in fraudulent Medicare billing.
William Madrigal pleaded guilty to conspiring with, soliciting and receiving kickbacks from ABC and Florida Home Health. He admitted to allowing the companies to use his Medicare beneficiary information to bill Medicare for care services for which he did not quality.
The owners and operators of ABC and Florida Home Health and Mr. Fonseca pleaded guilty and are awaiting sentencing.
Read the Department of Justice's news release on the ABC Home Health and Florida Home Health fraud.
Read other coverage on healthcare fraud in Miami:
- Owner of Miami Infusion Clinic Charged in $23M Healthcare Fraud Scheme
- Operator of Miami Home Health Company Arrested for Healthcare Fraud
- Miami Clinic Operators Convicted in $51M Medicare Fraud for HIV Infusion