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says Florida Network defrauded Medicare and Medicaid of more than $1 billion (w/video) New York Times I want to see more articles tagged I'm already following articles tagged WASHINGTON In the largest case of health care fraud ever brought by the Justice Department, federal prosecutors Friday charged three people at a network of Florida nursing and assisted-living facilities for their suspected role in a scheme to defraud Medicare and Medicaid of more than $1 billion. Related News/Archive U.S. officials say the more we learn about Zika virus, the scarier it is (w/video) 3 Months Ago Prosecutors charged that Philip Esformes, 47, of Miami, who owns 30 nursing homes and assisted-living facilities in the area, created a fraudulent network built on billing Medicare for performing lucrative procedures that were not needed. He also was charged with laundering proceeds and paying kickbacks to area health care providers. Over a period of 14 years, Esformes' facilities would take in Medicare and Medicaid recipients who did not actually qualify for skilled nursing or assisted-living facilities, then bill the government programs for their care, prosecutors charged. The scheme resulted in what George L. Piro, the special agent in charge of the FBI office in Miami, called "staggering losses in excess of $1 billion." The losses were the largest ever seen in a health care fraud prosecution, Justice Department officials said, and represent the most significant in a string of hundreds of Medicare fraud cases totaling $10 billion in the last decade. Esformes was charged with health care fraud, paying and receiving kickbacks, obstruction of justice and other crimes. Also indicted in the case were two other people in the Miami area: Arnaldo Carmouze, 56, a physician assistant who worked with Esformes; and Odette Barcha, 56, a health care consultant accused of taking kickbacks. U.S. says Florida Network defrauded Medicare and Medicaid of more than $1 billion (w/video) 07/22/16 [Last modified: Friday, July 22, 2016 9:17pm]
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