Medicare Fraud

Domestic fraud can be handled domestically, by federal authorities if they have jurisdiction or by a state’s prosecutors when a financial fraud is within their domain. When it comes to international fraud, however, resolution can be a bit more complex. 

We’ve been intrigued by “Most Wanted” lists since Efram Zimbalist, Jr., used to highlight them on TV. So we found the story of two former “Most Wanted” healthcare fraud fugitives being sentenced to prison of particular interest. 

We mentioned the other day that one owner of a health care company was sentenced to a record 50 years in prison for Medicare fraud.

What do you get for defrauding Medicare and preying on vulnerable people suffering from Alzheimer’s disease, dementia, and substance abuse? You get 50 years in prison – the longest prison sentence ever in a Medicare fraud case. 

R&V Medical Supplies, LLC, located in Philadelphia, was a supplier of durable medical equipment. In thinking about how to develop business, the company’s owner, Robert Saul, and his wife, Sheila, came up with a plan.

Federal prosecutors have charged 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately $295 million in false billing. According to the government, these charges involved “the highest amount of false Medicare billings in a single takedown” in the history of the Medicare Fraud Strike Force. 

Two sisters who owned a fraudulent Detroit-area medical clinic and who are former “Most Wanted” health care fraud fugitives have pleaded guilty in Miami for their leading roles in a $9.1 million Medicare fraud scheme.

Two pastors of a now defunct Los Angeles church and a woman they employed at their fraudulent durable medical equipment (“DME”) supply companies have been convicted of conspiracy and health care fraud charges in connection with a $14.2 million Medicare fraud scheme. 

Miami doctor Rene De Los Rios - 72 years old - has been sentenced to 235 months in prison for his participation in a $23 million HIV injection and infusion Medicare fraud scheme. 

Two owners of a fraudulent Detroit-area medical clinic, Martin and Joaquin Tasis, and a man who helped them launder the proceeds of the fraud, Leoncio Alayon, were convicted today by a federal jury in Detroit for their roles in a $9.1 million Medicare fraud scheme, federal authorities have reported.