Medicare Fraud Probes Keep DOJ Hopping

John Commins, for HealthLeaders Media , August 15, 2011

Miami Home Health RN Gets 10 Years for Fraud

Armando Santos, RN, of Miami, was sentenced last week to a statutory minimum of 10 years in prison following his conviction by a federal jury in May on several counts related to healthcare fraud, federal prosecutors said.

Santos, 46, was employed by a Miami-Dade based home healthcare agency called Ideal Home Health, and was paid to provide care for Medicare beneficiaries that were homebound, diabetic, insulin dependent, and so ill that they were unable to inject themselves with insulin.

Evidence at trial showed that at least two of the Medicare beneficiaries that the defendant claimed to be injecting with insulin twice daily, seven days per week, were neither in need of insulin nor homebound.

The owners of Ideal Home Health, Elizabeth Acosta Sanz and Luis Alejandro Sanz, both of Miami, were recently arrested and face related healthcare fraud and conspiracy charges.

Miami Woman Is 10th Person Arrested in $27M Healthcare Fraud Conspiracy

Elizabet Lombera, 39, of Miami Lakes, FL was indicted August 10 by a federal grand jury in Miami of conspiracy and fraud charges for her alleged role in a scheme to scam more than $27 million from Medicare. The indictment Lombera and her co-conspirators installed nominee presidents to hide her control of five durable medical equipment companies in Miami that submitted fraudulent claims to Medicare.

Collectively, the five companies submitted approximately $27,383,328 in fraudulent claims to Medicare and received $12,438,952 in reimbursements. The indictment alleges that Lombera used the money for personal gain, including paying for a trip to Japan. Six of Lombera's co-conspirators have already been sentenced for their roles in this conspiracy.

John Commins is a senior editor with HealthLeaders Media.

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1 comments on "Medicare Fraud Probes Keep DOJ Hopping"

nancee (2/18/2012 at 8:38 AM)
Martire is back practicing oncology in md how is that possible




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