South Florida Man Added to OIG’s Medicare Fraud List of ‘Most Wanted Fugitives’ By Tod Aronovitz | 12/23/14 | 0 Comment

A Miami-Dade County fugitive who was indicted on charges of conspiracy to commit health care fraud, health care fraud, and money laundering in April 2009 has been added to the Office of Inspector General’s most wanted list, according to the U.S. Department of Health and Human Services.

Jorge Portillo was the president of Westland Medical Equipment Corporation, a durable medical equipment (DME) company located in Hialeah. Investigators believe that through his company, the 38-year old falsely billed Medicare more than $2 million for DME that was never provided to beneficiaries.

According to the indictment, Portillo signed a backdated Medical Supply Contractual Agreement and Maintenance/Repair Agreement on behalf of Westland Medical, making it look like the company was purchasing DME, supplies and maintenance services from a wholesale supplier.

Portillo worked with co-conspirator, Scarlet Regalado, submitting claims to Medicare falsely representing that various health care benefits, items, and services were medically necessary and had been provided to Medicare beneficiaries. As a result of their fraudulent submissions, Medicare provided $927,123 in reimbursement.

Portillo then transferred and disbursed the fraudulent funds from Westland Medical’s corporate bank account to himself and others.

While Portillo remains at large, Regalado was sentenced to 4 years and 9 months in prison and ordered to pay $1,091,378 in restitution, joint and several.

Four of the 10 fugitives on the most-wanted list are believed to have committed crimes in South Florida, which is known as a hotbed of healthcare fraud.

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.