Three Recruiters in $20 Million Trust Care Health Scheme Get Jail Terms By Tod Aronovitz | 10/23/14 | 0 Comment

Three patient recruiters, connected to a $20 million Medicare fraud scheme involving defunct home health care company Trust Care Health Services, were sentenced for their roles in the conspiracy. We previously reported about the women on our ARONOVITZ Blog in July when they pleaded guilty to the fraud charges.

An announcement made by the U.S. Department of Justice reported that:

1. Estrella Perez was sentenced to serve 37 months in prison. The 57-year old from Coral Gables also got three years of supervised release, and was ordered to pay $1,172,162 in restitution. She originally pleaded guilty to conspiracy to commit health care fraud.

2. Solchys Perez, 34, of Miami, was sentenced to serve 30 months in prison, followed by three years of supervised release, and ordered to pay $746,600 in restitution. She also pleaded guilty to conspiracy to commit health care fraud.

3. Miami resident Abigail Aguila, 40, received a 30-month sentence, followed by three years of supervised release. She was ordered to pay $491,438 in restitution and originally pleaded guilty to conspiracy to defraud the United States and receive health care kickbacks.

According to court documents, the women recruited patients for Trust Care in exchange for kickbacks paid in cash, or in checks payable to them or their shell companies. Trust Care then billed Medicare for home health care and therapy services that were not medically necessary or provided to these recruited beneficiaries.

Co-conspirators at doctors’ offices and clinics were also involved. The two Perez women paid kickbacks and bribes for home health and therapy prescriptions, plans of care, and medical certifications for their recruited patients. These documents were then used by co-conspirators at Trust Care to fraudulently bill the Medicare program.

Prosecutors said that from March 2007 through January 2010, Trust Care submitted almost $20 million in false claims for home health services. Medicare paid Trust Care approximately $15 million for these fraudulent claims.

In September, another patient recruiter, Monica Macias, was sentenced to serve 24 months in prison for her participation in the same scheme.

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.