Former Director of Nursing at Miami Home Health Agency Pleads Guilty in $7 Million Medicare Scam By Tod Aronovitz | 08/05/14 | 0 Comment

Another employee of Anna Nursing Services Corp., a Miami home health care company that apparently operated solely to bill the Medicare program and is no longer in business, recently pleaded guilty for his role in connection to a $7 million health care fraud scheme, the Department of Justice announced.

We first reported about Anna Nursing on our ARONOVITZ LAW Blog on July 21, when an office worker from the agency pleaded guilty to paying kickbacks and bribes to patient recruiters.

This time the guilty plea was entered by a former director of nursing, Armando Buchillon, before U.S. District Judge Joan A. Lenard in the Southern District of Florida. The 42-year old from Hialeah pleaded guilty to one count of conspiracy to commit health care fraud.

According to court documents, Buchillon and his co-conspirators allegedly falsified patient documentation to make it look like Medicare patients qualified for and received expensive home health care and therapy services when, in fact, they often didn’t qualify or receive the documented care.

Buchillon also paid kickbacks and bribes to patient recruiters and worked as a patient recruiter for Anna Nursing as well.

As a result of Buchillon’s role, Medicare paid Anna Nursing around $7 million from approximately October 2010 through April 2013 for fraudulent claims for services that were medically unnecessary or not provided.

Buchillon and his co-conspirators were part of a national sting operation by the Medicare Fraud Strike Force this past spring when a total of 90 individuals in six cities were apprehended for allegedly submitting about $260 million in false billings to Medicare, an earlier DOJ announcement said.

Sentencing for Buchillon is scheduled for October 6 before Judge Lenard.

How to Report Miami Medicare Fraud

Healthcare professionals or medical billing employees who have 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 up 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 whistleblowers to document Medicare fraud and other forms of fraud against the government. Contact Miami Whistleblower / Qui Tam lawyer Tod Aronovitz to discuss your case.