American Therapeutic Corporation Executives Sentenced to Jail in $205 Million Health Fraud Scheme By Tod Aronovitz | 01/28/13 | 0 Comment

Former executives of American Therapeutic Corporation (“ATC”) are going to jail for their roles in a Medicare fraud and kickback scheme.

Lydia Ward of Miami, a former program ATC director, was recently sentenced in federal court to 99 months in prison and ordered to pay up to $34.1 million in restitution. Hilario Morris, a former marketing executive and also a Miami resident, was sentenced to 60 months in jail and ordered to pay up to $82.2 million in restitution.

Sandra Jimenez of Miami, another ATC marketing executive, received a 36 months prison sentence. She was ordered to pay up to $20.5 in restitution.

According to the U.S. Department of Justice, ATC, a Florida corporation headquartered in Miami, operated purported partial hospitalization programs (PHPs) in seven different locations throughout South Florida and Orlando. A PHP is a form of intensive treatment for severe mental illness.

The fraud scheme involved the submission of false and fraudulent claims to Medicare, payments of illegal referral kickbacks, and the provision of false and unnecessary treatments.

Priority Home Health, a Miami home health agency, also allegedly submitted fraudulent claims to Medicare for home health services.

Last week’s sentencing follows the 2012 convictions of ATC executives Lawrence Duran, Marianella Valera and Judith Negron. The three were sentenced to 50 years, 35 years and 35 years in prison, respectively, for their roles in the fraud scheme.

How to Report Miami Medicare Fraud

Healthcare or medical billing employees who have inside knowledge of questionable Medicare billing practices can file a confidential legal claim under the False Claims Act. By acting as a “whistleblower” in what is known as a “qui tam” lawsuit, a private party may collect between 10 to 30 percent of the amount recovered, depending on how the case is prosecuted.

ARONOVITZ LAW: Miami Whistleblower / Qui Tam Law Firm

The Miami law firm of ARONOVITZ LAW routinely works with Miami whistleblowers to document Medicare fraud and other forms of fraud against the government. Click on the link to read more about our Miami Whistleblower / Qui Tam law firm services.

Contact Miami whistleblower attorney Tod Aronovitz for a confidential discussion of your potential Miami Medicare fraud case.