Miami Durable Medical Equipment Clinic Owner Sentenced in $11.3 Million Health Care Fraud By Tod Aronovitz | 02/21/14 | 0 Comment

Francisco Enrique Chavez, the former owner of World Class Medical Clinic Corp., was recently sentenced in Miami for his role in an $11.3 million health care fraud scheme, the U.S. Department of Justice announced. During the course of the scheme, Chavez served as president and sole corporate officer of World Class, a now defunct durable medical equipment (DME) clinic that was based in Miami.

The 36-year old was sentenced to serve 70 months in prison by U.S. District Judge Patricia A. Seitz in the Southern District of Florida. Chavez was also sentenced to three years of supervised release and ordered to pay $1,713,959 in restitution. He originally pleaded guilty to one count of health care fraud on November 21, 2013.

From March 27 through August 22, 2006, prosecutors said that Chavez was involved in the submission of false and fraudulent claims to Medicare on behalf of World Class for DME that was not prescribed by a physician nor medically necessary. Of the $11.3 million in claims, Medicare paid more than $1.7 million on the fraudulent documentation.

Proceeds from the fraudulent claims were then deposited into corporate bank accounts controlled by Chavez. Chavez, in turn, made frequent cash withdrawals on those accounts, only to deposit the funds into personal and shell entity bank accounts to cover up the 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 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.