South Florida Operator of Renew Therapy Pleads Guilty to $10.5 Million Medicare Fraud By Tod Aronovitz | 01/28/14 | 0 Comment

A South Florida man recently pleaded guilty for his role in a $10.5 million Medicare fraud scheme involving physical and occupational therapy services.

The U.S. Department of Justice announced that Luis Alberto Garcia Perojo, 42, was charged with conspiring to commit health care fraud, and could face up to 10 years in prison. His sentencing has yet to be scheduled.

According to court documents, Garcia Perojo operated the Renew Therapy Center of Port St. Lucie LLC, and capitalized on this role to carry out a scheme involving fraudulent billing at the outpatient rehabilitation facility.  From November 2007 through August 2009, Renew Therapy submitted over $10.5 million in fraudulent claims to Medicare for therapy services that were not legitimately prescribed or provided to patients, and received over $6.2 million from Medicare, as a result.

Investigations found that Renew Therapy’s fraud proceeds were later distributed to various entities, including more than $1.8 million to Ariguanabo Investment Group Inc. and IRE Diagnostic Center Inc., shell companies where Garcia Perojo controlled the bank accounts. Garcia Perojo and his co-conspirators used this money to pay out kickbacks to procure more Medicare beneficiary information used to make the fraudulent reimbursement claims.

This case was brought as part of the Medicare Fraud Strike Force under the supervision of the Criminal Division’s Fraud Section and U.S. Attorney’s Office for the Middle District of Florida.

How to Report South Florida 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.