Focused On Employment, Whistleblower And Business Law

Two Patient Recruiters Sentenced in Miami for Roles in $50 Million Medicare Fraud

by Hoyer Law Group, PLLC | Nov 19, 2012 | Firm News

WASHINGTON—Two former patient recruiters for Miami-based mental health clinic Biscayne Milieu Health Care Inc. were sentenced today for their participation in a Medicare fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare, announced Assistant Attorney General Lanny A. Breuer of the Justice Department’s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida; Michael B. Steinbach, Acting Special Agent in Charge of the FBI’s Miami Field Office; and Special Agent in Charge Christopher B. Dennis of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Office of Investigations, Miami Office.

Anthony Roberts, 45, and Derek Alexander, 39, both of Miami, were each sentenced today by U.S. District Judge Robert N. Scola, Jr. in the Southern District of Florida. Roberts was sentenced to serve 87 months in prison and ordered to pay $887,085 in restitution. Alexander was sentenced to serve 42 months in prison and ordered to pay $300,876 in restitution.

Roberts and Alexander were each convicted of one count of conspiracy to commit a health care kickback scheme and a substantive kickback charge on August 24, 2012, after a two-month trial.

Various owners, doctors, managers, therapists, patient brokers, and other employees of Biscayne Milieu were charged with various health care fraud, kickback, money laundering, and other offenses in two indictments unsealed in September 2011 and June 2012. Biscayne Milieu, its owners, and more than 25 of the individual defendants charged in these cases have pleaded guilty or have been convicted at trial. Antonio and Jorge Macli and Sandra Huarte, the owners and operators of Biscayne Milieu, and Dr. Gary Kushner, its medical director, were each convicted of various offenses at trial and will be sentenced on December 20, 2012.

Read rest of story here

Featured On