Nine Florida residents were arrested this Tuesday by the Federal Bureau of Investigation (FBI) after his arrest accused of organizing a health fraud scheme of $37 million in the south of the state.
face various conspiracy allegations to commit fraud and health fraud Arisleidy’s Fernández Delmas, 32 years old; his mother Leidys Delmas Garcia, 51 years old; her husband Pedro Hugo Prieto Garcia32 years old; Daimara Borroto Garcia32 years old; Elias Caises Maurino52 years old; Yohana Iriza (aka Yohana Lozada), 51 years old; her ex-husband Gabriel Losada, 50 years old; your son Anthony Lozada, 23 years old; and JJulio Acosta Perez40, the Department of Justice for the Southern District of Florida said in a statement released Tuesday.
According to the public prosecutor’s office, the group is said to have conspired $37 million swindle in health insurance claims to the insurance company Blue Cross Blue Shield from 30 physical therapy clinics.
The people – who are presumably related by blood – paid bribes to beneficiaries since 2018 of health insurance plans administered by the Blue Cross and offered these bribes to employees of JetBlue Airways, AT&T Inc. and TJX Companies Inc. to get them to serve as patients at various physical therapy clinics in South Florida.
The defendant clinic owners then filed fraudulent health insurance claims with Blue Cross Health services that were medically unnecessary and they hadn’t even been provided.
Members of the group are also being charged pay licensed massage therapists to act as the “nominal owners” and operators of physical therapy clinics, allowing them to circumvent medical clinic licensing requirements and legal action.
This allowed the ringleaders to circumvent various medical clinic licensing requirements and attempt to avoid prosecution.
If convicted, the accused face a penalty up to 10 years in prison for each charge.
If convicted, they each face up to 10 years in prison for each charge. A federal district judge will determine the penalty based on U.S. penal guidelines and other legal factors.
Several cases of healthcare fraud have surfaced on social media and official US government websites.
A 61-year-old man Julio Arsenio Rodriguezearned millions of dollars in revenue by defrauding the state’s Medicare and Medicaid programs by multiple clinics across South Florida that allegedly supplied permanent medical devices (DME) to eligible recipients.
For scamming the same companies, another Miami businessman convicted Sentenced to more than seven years in prison after starting a shell company called Myers Professional Services, based in Fort Myers, Florida, and for attempting to cover up his crime by providing a false owner on company and bank records.
The man bought lists of Medicare “patients” and then directed a “biller” to submit fraudulent claims to this health care benefit program for permanent medical devices that were not prescribed by a doctor, were not medically necessary, and were not provided to any Medicare or Medicaid recipients.