Robert Marrero Sentenced to 10 Years in $20 Million Health Care Fraud Scheme By Tod Aronovitz | 12/03/13 | 0 Comment

Roberto Marrero, of Miami, was recently sentenced to serve 120 months in prison for his predominant role in a $20 million health care fraud scheme involving Trust Care Health Services, Inc., the U.S. Department of Justice announced.  We previously reported on the former actor and entrepreneur in our Aronovitz Blog on May 17 when he was first accused of Medicare fraud.

In September, the 60-year old owner and operator of the now defunct Trust Care Health Services, as well as several other Miami health care agencies, pleaded guilty to conspiracy to commit health care fraud and conspiracy to receive and pay health care kickbacks.

Marrero worked with three co-conspirators in the scheme:  his wife, Sandra Fernandez Viera, who was a co-owner and co-operator of Trust Care; Patricia Morcate, who was an employee and investor in Trust Care; and Enrique Rodriguez, who served as a patient recruiter on behalf of Trust Care.  In November, they received their sentences of 120 months, 60 months, and 57 months, respectively.

Court documents reveal that Marrero and his team operated Trust Care for the sole purpose of billing Medicare for expensive and unnecessary home health and physical therapy services, or billing for treatments that were actually never provided to Medicare beneficiaries.

Marrero was the mastermind behind the scheme.  He primarily controlled Trust Care, oversaw the fraudulent practices, negotiated and paid kickbacks and bribes, interacted with patient recruiters, and coordinated the submission of false claims to Medicare.

In return for kickbacks and bribes, Trust Care received Medicare patients, home health and therapy prescriptions, medical certifications, and other documentation.  They were all used to provide credibility for when the company billed the Medicare program, even though Marrero knew he was in violation of federal criminal laws.

From approximately March 2007 through at least October 2010, Trust Care submitted more than $20 million in claims for home health services.  Medicare paid Trust Care more than $15 million for these fraudulent claims.

Marrero and his co-conspirators have also acknowledged their alleged involvement in similar fraudulent activities at several other Miami health care agencies including: A&B Health Services Inc., Centrum Home Health Care Inc., Global Nursing Home Health Inc., Lovable Home Health Services Corp., New Concepts In Health Inc., Nursemed Home Care Corp., R&M Health Care Inc., Ubieta Health System Inc., and Vital Care Home Health Services Inc. Total Medicare losses from those criminal schemes are estimated at $50 million.

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.