Final Defendant Sentenced in $80 Million Health Care Fraud Conspiracy | OPA

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A Florida man was sentenced at the moment to 210 months in jail for conspiracy to commit well being care fraud and wire fraud.

Alberto Orian Gonzalez-Delgado, 46, of Miami, pleaded responsible to conspiracy to commit well being care fraud and wire fraud on March 4. Gonzalez-Delgado is the final remaining defendant on this case to be sentenced. Eduardo Rubal, 41, of Miami, pleaded responsible to conspiracy to commit well being care fraud and wire fraud and was sentenced to 210 months; Vicente Gonzalez Acosta, 50, of Miami, pleaded responsible to conspiracy to commit well being care fraud and wire fraud and was sentenced to 188 months; Alexander Fernandez, 49, of Miami, pleaded responsible to conspiracy to commit cash laundering and was sentenced to 120 months; Yaxing Tapanes, 24, of Hialeah, pleaded responsible to conspiracy to commit cash laundering and was sentenced to 97 months; Jose Carlos Valladares Rivera, 43, of Miami, pleaded responsible to conspiracy to commit cash laundering and was sentenced to 97 months; Hector Suarez Gonzalez, 45, of Hialeah, pleaded responsible to conspiracy to commit well being care fraud and wire fraud and was sentenced to 78 months; Antonio Jimenez, 54, of Hialeah, was sentenced to 48 months.

In keeping with courtroom paperwork, these eight people and their co-conspirators operated a fraud and cash laundering group liable for executing a collection of frauds in Florida and Michigan via which they billed Medicare for over $80 million, really receiving roughly $53 million for fraudulent claims. 

The group recruited and directed nominee house owners to fraudulently buy house well being businesses, in addition to to open sham firms of their names, together with corresponding private and company financial institution accounts. After the acquisition of the house well being company was accomplished, the group started fraudulently billing Medicare for companies that have been by no means offered. The house well being businesses had no medical employees and offered no companies to any beneficiaries. The group, upon receiving the Medicare cash, would funnel that via a number of layers of shell corporations and financial institution accounts in an effort to launder the cash earlier than changing it to money at ATMs and test cashing shops in Miami. As soon as the nominee house owners accomplished their work, the group required them to completely transfer to Cuba to keep away from detection and dwell past the jurisdiction of america.

Appearing Assistant Legal professional Common Nicholas L. McQuaid of the Justice Division’s Legal Division made the announcement.

The FBI and Division of Well being and Human Providers-Workplace of Inspector Common investigated the case, with help from the Facilities for Medicare and Medicaid Providers’ Heart for Program Integrity.

Trial Legal professional Emily Gurskis of the Legal Division’s Fraud Part prosecuted the case.

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