Flores Home Health Care Patient Recruiters Sentenced in $8 Million Miami Medicare Fraud By Tod Aronovitz | 03/24/14 | 0 Comment

Three patient recruiters, one of whom was also a medical clinic owner, were recently sentenced for their involvement in an $8 million Miami health care fraud scheme.  As we previously reported on our ARONOVITZ Blog on August 20, the conspiracy was led by the married co-owners of the now defunct Flores Home Health Care, Inc., a Miami home health care agency that purported to provide home health and physical therapy services to Medicare beneficiaries.

The three defendants from Miami entered their pleas on January 7:  Lerida Labrada, 59, pleaded guilty to conspiracy to commit health care fraud, and Mayra Flores, 49, and German Martinez, 36, each pleaded guilty to conspiracy to defraud the U.S. and receive health care kickbacks, according to the Justice Department.

On March 14, U.S. District Judge Ursula Ungaro of the Southern District of Florida ordered Labrada to serve 37 months in prison; Flores and German each received sentences of 24 months. The defendants were also sentenced to three years of supervised release and ordered to pay between $200,000 and $400,000 in restitution.

According to court documents, the three co-conspirators operated as patient recruiters, enlisting Medicare patients for the clinic and receiving kickbacks from the owners in return for allowing the Flores Home Health to bill the Medicare program on behalf of the recruited Medicare patients.  It was found that these supposed therapy services were not medically necessary and/or were not provided.

Labrada also owned and operated a Miami medical clinic that provided fraudulent prescriptions to patient recruiters and to the owners and operators of Flores Home Health.

From approximately October 2009 through June 2012, Flores Home Health was paid about $8 million by Medicare for fraudulent claims for home health services.

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 Qui Tam law firm of ARONOVITZ LAW routinely works with Miami whistleblowers to document Medicare fraud and other forms of fraud against the government. Contact Miami Whistleblower / Qui Tam lawyer Tod Aronovitz to discuss a case.