Owner and Administrator of Miami Home Health Companies Pleads Guilty for Role in $74 Million Health Care Fraud Scheme

July 25, 2014

HCAF strongly condemns healthcare fraud and supports the removal of bad actors from the home health industry.

A Miami resident who owned a home health care company and was the administrator of another home health care company pleaded guilty today for her participation in a $74 million Medicare fraud scheme.

Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Special Agent in Charge George L. Piro of the FBI’s Miami Field Office and Acting Special Agent in Charge Ryan Lynch of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Office of Investigations Miami Office made the announcement.

Elsa Ruiz, 45, pleaded guilty today before U.S. District Judge Marcia G. Cooke in the Southern District of Florida to one count of conspiracy to commit health care fraud. Her sentencing is scheduled for Oct. 8, 2014.

According to court documents, Ruiz was an owner of Professional Home Care Solutions Inc. (Professional Home Care) and an administrator of LTC Professional Consultants Inc. (LTC), Miami home health care agencies that purported to provide home health and therapy services to Medicare beneficiaries. Ruiz and her co-conspirators operated LTC and Professional Home Care for the purpose of billing the Medicare program for, among other things, expensive physical therapy and home health care services that were not medically necessary and/or were not provided.

Also according to court documents, Ruiz ran and oversaw the schemes operating out of LTC and Professional Home Care. Ruiz and co-conspirators paid kickbacks and bribes to patient recruiters, who provided patients to LTC and Professional Home Care , as well as prescriptions, plans of care (POCs) and certifications for medically unnecessary therapy and home health services for Medicare beneficiaries. Ruiz and her co-conspirators used these prescriptions, POCs and medical certifications to fraudulently bill the Medicare program for unnecessary home health care and therapy services.

From approximately January 2006 to June 2012, LTC and Professional Home Care submitted approximately $74 million in claims for home health care services that were not medically necessary and/or not provided, and Medicare paid approximately $45 million on those claims.

Source: OIG

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Submit Comments on CMS’s Proposed Rule on 2015 Home Health PPS!

July 18, 2014
With the recent release of the 2015 CMS Proposed Rule on the Home Health Prospective Payment System, it is incumbent on providers to submit comments to CMS about the rule during the 60 day commentary period. The 2015 proposed rule stands to make significant changes to the face-to-face process, therapy assessments, and much more. The home health industry has rarely submitted much more than 100-200 comments on each years proposed rule changes to the PPS. For an industry with over 12,000 nationwide Medicare providers, our voice must be louder!
John M. Reisinger of Innovative Financial Solutions for Home Health has provided HCAF with a bookmarked version of the 2015 proposed rule in the Federal Register in order to better understand it. If you would like additional explanation, HCAF will be hosting a webinar featuring John entitled, “The Proposed Rule for 2015″. Click here for more information.
Once you are more familiar with the rule, you can click here to submit a formal comment to CMS. Speaking up as an industry is the only way we can affect positive regulatory changes for the home health industry!
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Miami Patient Recruiter Pleads Guilty for Role in $6.5 Million Health Care Fraud Scheme

July 3, 2014

HCAF strongly condemns healthcare fraud and supports the removal of bad actors from the home health industry.

A patient recruiter for a Miami home health care agency pleaded guilty today in connection with a health care fraud scheme involving defunct home health care company Nestor’s Health Services Inc. (Nestor HH). The owner and operator of Nestor HH pleaded guilty to charges related to the scheme earlier this month.

On June 27, 2014, Euridice Borroto, 45, of Miami, Florida, pleaded guilty before U.S. Magistrate Judge Jonathan Goodman in the Southern District of Florida to one count of conspiracy to solicit and receive health care kickbacks and to defraud the United States. Sentencing is scheduled for Aug. 25, 2014.

According to court documents, Borroto was paid bribes and kickbacks for recruiting patients on behalf of Nestor HH, a Miami home health care agency that purported to provide home health and physical therapy services to Medicare beneficiaries. The owner and operator of Nestor HH operated Nestor HH for the purpose of billing the Medicare Program for, among other things, expensive physical therapy and home health care services that were not medically necessary and/or were not provided.

According to court documents, Borroto solicited and received kickbacks and bribes from the owner and operator of Nestor HH in return for recruiting and providing patients to Nestor HH for home health care and therapy services that were medically unnecessary and, in many instances, were not provided. Nestor HH would then fraudulently bill the Medicare program for home health care services on behalf of the recruited patients, in violation of federal criminal laws. Borroto knew that in many instances the patients she recruited for Nestor HH did not qualify for the services billed to Medicare.

From approximately March 2009 through at least January 2014, Nestor HH submitted more than $6.5 million in claims for home health services. Medicare paid Nestor HH more than $6.1 million for these fraudulent claims before the fraud was exposed.

In documents filed with the court, Borroto also acknowledged her involvement in similar fraudulent schemes at other Miami health care agencies.

The case was investigated by the FBI and HHS-OIG and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Florida. This case is being prosecuted by Trial Attorneys Anne P. McNamara and A. Brendan Stewart of the Criminal Division’s Fraud Section.

Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged nearly 1,900 defendants who have collectively billed the Medicare program for more than $6 billion. In addition, the HHS Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.

To learn more about the Health Care Fraud Prevention and Enforcement Team (HEAT), go to: http://www.stopmedicarefraud.gov.

Office Worker Pleads Guilty in Miami to Role in $7 Million Health Care Fraud Scheme

June 20, 2014

HCAF strongly condemns healthcare fraud and supports the removal of bad actors from the home health industry.

An office worker pleaded guilty today in connection with a health care fraud scheme involving Anna Nursing Services Corp. (Anna Nursing), a defunct home health care company.

Lizette Garcia, 37, of Miami, Florida, pleaded guilty before U.S. District Judge Joan A. Lenard in the Southern District of Florida to one count of payment of health care kickbacks. Sentencing is scheduled for August 27, 2014.

Garcia was an office worker at Anna Nursing, a Miami home health care agency that purported to provide home health and therapy services to Medicare beneficiaries. According to court documents, Anna Nursing was operated for the purpose of billing the Medicare Program for, among other things, expensive physical therapy and home health care services that were medically unnecessary and/or were not provided.

On behalf of the owners and operators of Anna Nursing, Garcia paid kickbacks and bribes to patient recruiters in return for the recruiters providing patients to Anna Nursing for home health care and therapy services that were medically unnecessary and/or were not provided. Anna Nursing then billed the Medicare program on behalf of the recruited patients, which Garcia knew was in violation of federal criminal laws.

From approximately October 2010 through approximately April 2013, Anna Nursing was paid by Medicare approximately $7 million for fraudulent claims for home health care services that were medically unnecessary and/or were not provided.

The case was investigated by the FBI and HHS-OIG and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Florida. This case is being prosecuted by Trial Attorneys A. Brendan Stewart and Anne McNamara of the Criminal Division’s Fraud Section.

Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,900 defendants who have collectively billed the Medicare program for more than $6 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, has removed over 17,000 providers from the Medicare program since 2011.

To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: http://www.stopmedicarefraud.gov.

Annual Conference Preview: ICD-10 is Delayed. Are You Making the Mistake of Delaying Your Preparation?

June 6, 2014

WHY SOMEONE SHOULD ATTEND HCAF’s 2014 ANNUAL CONFERENCE AND TRADE SHOW:

Don’t miss Jennifer Warfield’s presentation, “Celebrating ICD-10: A New Tradition of Codes,” and learn how to maximize the extra ICD-10 preparation time for the survival of your agency.

The Senate’s recent vote to delay ICD-10 has taken the home health industry by storm and shock. With a new implementation date of Oct. 1, 2015, administrators, directors, CEOs and nurses now have been given a second chance to ensure their agency survives the transition. As we continue forward, it’s important for agencies to rethink their “preparation” game plan. This additional training time should not go to waste. ICD-10 cannot be delayed forever and should be viewed as a postponement, not an end.

Although agencies have spent countless hours, dollars and energy in proper preparation for the 2014 implementation and despite the delay, it is important to keep staff members up to date with continued ICD-10 education. This delay will allow coders (both seasoned and novices) more time to prepare, review processes and decide which training method will be the most effective. Keep in mind that coding correctly has more use and benefits than just getting the diagnoses correct on the OASIS. Correct codes are essential for accurate documentation and risk adjustment. Additionally, codes are used universally for data collection, research and developing best practices.

On-site and online ICD-10 training has become a significant source of education for numerous home health professionals nationwide. Most professionals who attend ICD-10 training courses, learn about the numerous, significant differences between ICD-10 and ICD-9 and fully understand how long it will take to become proficient in ICD-10 coding. Even the most seasoned ICD-9 coders have concerns and are glad that they started training early. These early trainees can attest to the fact that when considering that the new code set will now consist of approximately 70,000 codes, as opposed to the current 14,000 codes, finding the correct one will understandably require more time.

Now is the time to get your agency on the right track with proper preparation and education. There are many routes that agencies can take to assure that they are properly prepared for ICD-10, such as online educational webinars or a private on-site workshop. As PPS Plus Software’s education director, I have been crisscrossing the country, conducting ICD-10 training sessions for home health agencies and associations nationwide. Additionally, I am over halfway through a 9-part ICD-10 webinar series that I am conducting for PPS Plus Software, which began this past January and will wrap up in September of this year. To register for my next ICD-10 webinar, please do so by clicking here. Additionally, if you would like to request a private webinar or on-site workshop, please fill out the education request form here.

When we are finally given the green light to implement ICD-10, we can transition into ICD-10 with confidence, knowing we have utilized all the available educational resources to properly educate ourselves and become ICD-10 experts.

If you would like to learn how PPS Plus Software’s OASIS analysis software and team of coding experts can help you with ICD-9 and prepare for ICD-10, please call (888) 897-9136 or info@ppsplus.com. You can also visit PPS Plus Software’s website at www.ppsplus.com.

Registration for HCAF’s 2014 Annual Conference and Trade Show is open! Register today to attend great presentations from Jennifer Warfield and many other nationally recognized home care experts. Click here to go to our 2014 Conference Website

About PPS Plus Software

Find OASIS errors and clinical inconsistencies quickly and easily with PPS Plus Software’s industry-leading OASIS analysis software, featuring thousands of alerts to help you achieve clinical and financial accuracy. PPS Plus Software also offers exceptional benchmarking services, education and consulting services, coding and OASIS review services, as well as HHCAHPS services by Deyta.

©2014 Jennifer Warfield. All rights reserved.
No portion of this material may be reproduced in any form without the advance written permission of the author.

Rebasing Relief Bill Introduced in the U.S. House of Representatives

May 16, 2014

Congressman Ralph Hall (R-TX) recently introduced the Medicare Home Health Rebasing Relief and Reassessment Act (H.R.4625). The bill seeks to suspend CMS’ flawed rebasing rule for 12 months and require that CMS reassess the rule and submit a report to Congress on alternative rebasing methods, including methods offered by stakeholders. 

The National Association of Home Care and Hospice and the Texas Association for Home Care & Hospice were involved in drafting the legislation and in getting H.R. 4625 introduced. HCAF has pushed for the passage of relief against these unfair and punitive across-the-board cuts to home health and supports this legislation.

In February, Rep. Hall – along with a bipartisan group of his colleagues – sent a letter to House Speaker John Boehner (R-OH) and House Minority Leader Nancy Pelosi (D-CA) urging congressional action to postpone CMS’ Final Rule on home health rebasing and require that CMS re-evaluate the rule.

The letter strongly reinforces the points that HCAF has been stressing since the beginning of the rebasing debate, namely that:

“If this rule is not postponed and appropriately evaluated, according to CMS projections almost half of the home health industry will be paid less than their costs. Current industry data shows that as many as 73% of home health agencies across the country could be out of business when the rule is fully implemented…

The Final Rule…clearly does not take into consideration the appeals made by the U.S. Congress and interested stakeholders. The Final Rule unnecessarily rebases payment rates at the maximum cut permitted under the Affordable Care Act: a cut of -3.5% per year over each of the next 4 years, totaling an unprecedented cut to Medicare home health funding of 14% by 2017…

Urgent action is needed as the Final Rule took effect January 1, 2014.Home health plays an essential role in our health care system by serving the Medicare population with skilled nursing and habilitation services in the least costly setting – the home, and it is imperative that we protect access to care through informed and reasonable rulemaking.”

The February letter outlines – and the legislation that was recently introduced would – provide relief from the rebasing rule while compelling CMS to look at alternative methods of rebasing. 

HCAF strongly encourages all of its members to take a moment to contact their Representatives in the House and ask that they cosponsor this important legislation.  It is especially important to get Democratic lawmakers to sign-on as a cosponsor to maintain a bipartisan balance.

For contact information, please click here.

2014 Florida Legislative Session Review: Home Care Edition

May 9, 2014

Finishing this past Friday evening, the 2014 Legislative Session ended with the State House and State Senate passing fewer bills than any year in over a decade. HCAF is here to report on the items that will/would have affected home care that were considered this year. As the Tampa Bay Times reports,  infighting and maneuvering within other sectors in the industry doomed most healthcare bills. Please read below to learn the results of measures aimed at making changes for home health.

Reduction of Quarterly Report to Twice-Per-Year /Elimination of Report Requirement for License-Only Agencies
HCAF has been working diligently to eliminate the unfair and burdensome home health quarterly report. With lawmakers and regulators currently unwilling to completely get rid of the report, we continue to make it easier and less punitive on our members. Last year, HCAF was successful in reducing the fine for missing the reporting deadline from $5,000 to $200 per day. This year, our language that would reduce the report to twice-per-year and require it only for certified agencies died when most other provisions affecting healthcare this year (including  those that would affect assisted living facilities, HIV treatment, scope of practice for nurse practitioners) were added to the bill late on the final day of session. It is very regrettable that this amended was allowed to the bill, creating an omnibus bill that generally spells certain death for a bill. HCAF will return next year seeking full elimination of the quarterly report.

Raising the Medicaid Private-Duty LPN Rate for PPEC Patients
Without a rate increase in over 27 years, providing Medicaid home health in Florida has become cost prohibitive to most agencies. This year, the budget process began with the Senate Health Appropriation committee suggesting a 20% increase to the rate and the House Health Appropriations Committee supporting 10%. During the conference committee process, the House position was accepted by the Senate and the item was closed out at 10%. In an unusual move, during the full Budget Conference consideration of items that were not agreed upon by the House and Senate health subcommittees, the LPN rate was reopened and slashed by half, with the remainder used to pay for other items in AHCA’s budget. This was an incredibly disrespectful action carried out against home care, all on a Sunday evening. These medically fragile children are some of home care’s neediest patients and this increase would go a long way to assisting agencies in being able to better cover costs when treating them now and in the future. To cut a non-bump item at the full Budget Conference level is not the way the budget process is supposed to work and HCAF strongly condemns this maneuver.

Raising the Medicaid Private-Duty LPN Rate
Without a rate increase in over 27 years, providing Medicaid home health in Florida has become cost prohibitive to most agencies. Although the legislature approved an increase last year, the measure was vetoed by Governor Rick Scott. This year, the legislature has agreed to over an additional $11 million dollars to increase the Private Duty Nursing rate for LPNs who serve Prescribed Pediatric Extended Care patients. These medically fragile children are some of home care’s neediest patients and this increase would go a long way to assisting agencies in being able to better cover costs when treating them now and in the future.

Eliminating Accreditation Requirements for License-Only Personal Care
An amendment was added to SB 1254 that would eliminate accreditation requirements for non-Medicare/Medicaid certified agencies that do not provide any skilled care. This would have a large impact on this sector of the industry, due to the large costs of earning and maintaining accreditation In addition this requirement is a significant hurdle for those non-skilled, non-certified providers who wish to sell their businesses. This bill, which included the quarterly report language died on the final day when an amendment turned it into an omnibus healthcare bill.

Nurse Registries Business Model Clarification
One measure that passed will clarify the Nurse Registry business model within Florida Statute. Specifically, it defines workers as independent contractors that are not employees of the registry. HB1179 passed both chambers and has been sent to the Governor for approval. While HCAF supports our Nurse Registry members, we feel this is a matter that will be decided at the Federal level and that such actions on the state level will have little or no impact. However, HCAF will continue its vigorous opposition in the national arena against certain aspects of the ACAEmployer Mandate and the pending change to the Companionship Exemption.

Expanding Access to Telemedecine and Creating a Regulatory Framework for its Use

A final item HCAF was in support of was a telemedicine bill that would have helped expand access to telehealth in Florida. Legislators opened session by calling this an incredibly important measure in order to improve access to healthcare for Floridians amidst the growing shortage of doctors. Unfortunately, infighting between different healthcare sectors lead tot his item dying once it was included in the package attached to the quarterly report language bill.

HCAF will continue to work for measures that will help our industry. In addition to planned items, we look to our members for suggestions on legislative changes at the state level that would help and expand home care in our state.

New Chapter Added to the State Operations Manual that Guides Surveyors on Imposing Alternate Sanctions

May 2, 2014

The Centers for Medicare & Medicaid Services (CMS) has issued Transmittal 114, which includes in the State Operations Manual (SOM) a new chapter, chapter 10, to guide State Survey Agencies and Regional Offices on the implementation of new alternative sanctions for home health agencies. CMS initially issued the guidance in March, 2014 through their Survey and Certification Policy and Memo web page with the intention of adding the guidance to the SOM.  The authority to impose alternative sanctions was finalized in the November 8, 2012 Federal Register notice.

CMS now has the authority to impose alternative sanctions of civil money penalties (CMPs), directed in-service training, directed plans of correction, suspension of payment for new admissions, and temporary management on HHAs that are found to have condition level deficiencies. The guide instructs on the implementation, basis for, and notification requirements for the individual sanctions, in addition to, the process for an informal dispute resolution (IDR), and the formal appeals process for when CMPs sanctions are imposed.

The guidance provides instructions on enforcement actions for deficiencies that pose either immediate jeopardy or no immediate jeopardy situations. In cases where deficiencies pose immediate jeopardy to patient safety, CMS will terminate an agency’s provider agreement no later than 23 days from the last day of the survey, unless immediate jeopardy is removed. CMS may also impose sanctions in cases of immediate jeopardy. In non-jeopardy cases, agencies that are noncompliant with conditions of participation and repeat noncompliance with condition and standard-level deficiencies may also be subject to termination and/or imposition of sanctions.

The effective dates for the sanctions began July 1, 2013 for directed plan of correction, directed in-service training, and temporary management. CMPs, suspension of new admissions, and the IDR process will become effective July 1, 2014. 

Click here to view the Transmittal.

Source: NAHC

Important Home Care Measures Near Final Votes as State Legislative Session Closes-in on Finish Line

April 25, 2014

 

Several measures moving through the Florida Legislature which would impact home health are on the home stretch, reaching the floors of the House and Senate for votes this week and next, prior to the May 3rd end of the Legislative Session. HCAF has been working hard as each bill moves through the process to advocate for changes to the law which will benefit the home care industry in Florida. See below for the status of each issue:

Reduction of Quarterly Report to Twice-Per-Year /Elimination of Report Requirement for License-Only Agencies
HCAF has been working diligently to eliminate the unfair and burdensome home health quarterly report. With lawmakers and regulators currently unwilling to completely get rid of the report, we continue to make it easier and less punitive on our members. Last year, HCAF was successful in reducing the fine for missing the reporting deadline from $5,000 to $200 per day. This year, our language that would reduce the report to twice-per-year and require it only for certified agencies is up for a final vote in the House of Representatives today as part of HB 7105. The Senate companion, SB 1254, is scheduled for a vote next week.

Raising the Medicaid Private-Duty LPN Rate
Without a rate increase in over 27 years, providing Medicaid home health in Florida has become cost prohibitive to most agencies. Although the legislature approved an increase last year, the measure was vetoed by Governor Rick Scott. This year, the legislature has agreed to over an additional $11 million dollars to increase the Private Duty Nursing rate for LPNs who serve Prescribed Pediatric Extended Care patients. These medically fragile children are some of home care’s neediest patients and this increase would go a long way to assisting agencies in being able to better cover costs when treating them now and in the future.

Eliminating Accreditation Requirements for License-Only Personal Care
Early this week, an amendment was added to SB 1254 that would eliminate accreditation requirements for non-Medicare/Medicaid certified agencies that do not provide any skilled care. This would have a large impact on this sector of the industry, due to the large costs of earning and maintaining accreditation In addition this requirement is a significant hurdle for those non-skilled, non-certified providers who wish to sell their businesses.  In the past, HCAF’s members have been on the fence when it came to whether they felt this business model should require accreditation, therefore HCAF has not previously taken a position on the measure. The bill could be placed on the calendar to appear on the Senate Floor anytime next week and we are watching it closely.

Nurse Registries Business Model Clarification
Another measure ready for a final vote would clarify the Nurse Registry business model within Florida Statute. Specifically, it defines workers as independent contractors that are not employees of the registry. SB 976 and HB 1179 are both ready for a final vote in the Senate and House as soon as today. While HCAF supports our Nurse Registry members, we feel this is a matter that will be decided at the Federal level and that such actions on the state level will have little or no impact. However, HCAF will continue its vigorous opposition in the national arena against certain aspects of the Federal Employer Mandate and the pending elimination of the Companionship Exemption.

HCAF will continue to work for measures that will help our industry and will be reporting the outcome of all changes made by the legislature which will affect home health in both our online communications and at our 2014 Spring District Meetings.

Ten Floridians Indicted in Medicare Home Health Fraud Scheme

April 10, 2014

HCAF strongly condemns healthcare fraud and supports the removal of bad actors from the home health industry.

Nine residents of Miami-Dade County and a resident of Hillsborough County have been indicted for their alleged participation in a $12.5 million Medicare fraud scheme.

On March 20, 2014, a federal grand jury in Miami returned a 59-count indictment charging Vicente Diaz, 39, Daniel Ocampo, 35, Elsa Capo, 71, Santiago Sepulveda, 79, Marta Curbeco, 67, Margarita Rodriguez, 72, Francisco Maysonet, 67, Pedro Peralta, 69, Amira Galan, 79, and Ana Rosa Santana, 77, for allegedly participating in a scheme to defraud Medicare by submitting false and fraudulent claims, and the payment and receipt of kickbacks in connection with a federal health care program, from approximately November 2011 to October 2013.

The allegations center on the operation of Marcialed and Sacred Health, two companies located in Miami-Dade County which were purportedly in the business of providing home health care to Medicare beneficiaries.

According to the indictment, Diaz controlled Marcialed and Sacred Health. Ocampo was for a time an officer of Sacred Health. Diaz and Ocampo offered and paid kickbacks and bribes to patient recruiters in return for referring beneficiaries to serve as patients so that Marcialed and Sacred could bill Medicare for home health services that were not medically necessary and were not provided. Curbeco, Rodriguez and Peralta solicited and accepted kickbacks and bribes in exchange for referring beneficiaries to serve as patients of Marcialed and Sacred Health. Capo, Sepulveda, Curbeco, Rodriguez, Maysonet, Peralta, Galan, and Santana are Medicare beneficiaries who solicited and accepted kickbacks in return for agreeing to serve as patients of Maricaled and Sacred Health so that the companies could bill Medicare for home health services that were not medically necessary and were not provided.

The indictment alleges that the defendants falsified, and caused to be falsified, records to document the receipt of home health services from Marcialed and Sacred Health that were not provided and were not medically necessary. Diaz and Ocampo violated Medicare rules and regulations by offering and paying kickbacks and bribes to patient recruiters in exchange for the referral of beneficiaries to Marcialed and Sacred Health. Diaz and Ocampo then caused Marcialed and Sacred Health to submit false and fraudulent claims seeking payment from Medicare for the home health services which had purportedly been provided to beneficiaries, when in truth the services had not been provided and were not medically necessary. The indictment alleges that as a result of the fraudulent claims, Diaz and Ocampo caused Medicare to pay approximately $7,809,243 to Marcialed and $4,694,834 to Sacred Health.

The indictment alleges that Diaz, Ocampo and other conspirators used the money fraudulently obtained from Medicare for their personal use and to further the fraud. The indictment seeks forfeiture of two properties and four Mercedes vehicles.

Mr. Ferrer commended the investigative efforts of U.S. Postal Inspection Service, HHS-OIG, and the FBI and was brought as part of the Medicare Fraud Strike Force. This case is being prosecuted by Assistant U.S. Attorney Eric E. Morales.

An indictment is only an accusation, and a defendant is presumed innocent unless and until proven guilty.


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