Medicare Fraudsters Taken Down
July 8, 2011
An FBI health care fraud investigation lands Miami medical staff in prison.
Mollie Halpern: An FBI health care fraud investigation lands Miami medical staff in prison.
Frances Szczepanski: It was just old fraud, a big fraud.
Halpern: I’m Mollie Halpern of the FBI, and you’re listening to “Gotcha.” Metro Med of Hialeah Corporation purportedly provided HIV-positive Medicare patients injection and infusion therapies. But as case agent Frances Szczepanski explains, the treatments weren’t given.
Szczepanski: The doctor falsified the medical records and the medical assistants falsified the medical records.
Halpern: The patients were HIV-positive but had normal platelet counts.
Szczepanski: They would spin the blood to make it appear that they had a low platelet count.
Halpern: The patients were in on the scheme.
Szczepanski: They saw this as an opportunity to make money. For each treatment, they would receive between $100 and $150.
Halpern: The clinic submitted $23 million in claims and received nearly $12 million. The fraudsters were sentenced between four and 19-and-a-half years behind bars. This has been the Bureau’s closed case of the week.
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