tci Medicare Compliance & Reimbursement - 2007 Issue 6

FRAUD & ABUSE: Miami Providers Beware--The Feds Have Their Eyes On You

Investigators find millions of dollars worth of improper Medicare payments.Miami appears to be ground zero for health care fraud prosecutions right now. A jury found physician Frantz Achille guilty of conspiracy and health care fraud. Achille was a physician at two Miami HIV/AIDS clinics and allegedly forged medical paperwork to receive $2.1 million from Medicare. Patients either never needed the expensive treatments or never received them. The clinic paid patients a kickback to show up, prosecutors said. Meanwhile, Miami physician Julian Torres was arrested Jan. 30 and charged with conspiracy and other federal crimes. The owners of...

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