Patient Recruiter from Miami Healthcare Agency Pleads Guilty to $25M Medicare Fraud Scheme

A patient recruiter from a Miami healthcare agency has pled guilty for his participation in a $25 million Medicare fraud scheme, according to a news release from the U.S. Department of Justice.

Vicente Guerra-Nistal pled guilty to one count of conspiracy to commit healthcare fraud yesterday. According to court documents, ABC Home Health Care operated for the purpose of billing Medicare for expensive physical therapy and home health services that were medically unnecessary and/or never rendered. Documents claim that from Jan. 2006-March 2009, Mr. Guerra-Nistale offered and paid kickbacks and bribes to Medicare beneficiaries in return for allowing ABC to bill Medicare.

As a result of his participation in the illegal scheme, the Medicare program was fraudulently billed approximately $194,000, according to the release.

Read the U.S. Department of Justice news release on Vicente Guerra-Nistale and ABC Home Health Care.

Related Articles on Medicare Fraud:

Owners of Illinois Healthcare Company, Former Podiatrist Allegedly Bilked $3.3M From Medicare
Former Tennessee Physician Sentenced to One Year in Prison for Medicare, TennCare Fraud
Washington Oncologist Faces 22 Charges For Alleged $1.7M Fraud Scheme


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