{"metadata":{"responseInfo":{"status":200},"resultset":{"count":"2","pagesize":"50","page":0},"executionTime":2.0215339660644531},"results":[{"attachment":"","body":"\u003Cp\u003E  The owners and operators of two Miami health care agencies were sentenced to nine years and more than four years in prison today, respectively, and ordered to pay millions in restitution for their participation in a $48 million home health Medicare fraud scheme that billed for unnecessary home health care and therapy services.\u003C\/p\u003E    \u003Cp\u003E  The sentences, imposed in federal court in the Southern District of Florida, were announced by Assistant Attorney General Lanny A. Breuer of the Justice Department\u2019s Criminal Division; U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida; Michael B. Steinbach, Special Agent in Charge of the FBI\u2019s Miami Field Office; and Special Agent in Charge Christopher B. Dennis of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Office of Investigations Miami office.\u003C\/p\u003E    \u003Cp\u003E  \u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; U.S. District Judge Frederico A. Moreno sentenced Rogelio Rodriguez, 43, and Raymond Aday, 48, both of the Miami-Dade area, to 108 months and 51 months in prison, respectively.\u0026nbsp; In addition to the prison term, Judge Moreno sentenced Rodriguez to pay $33 million in restitution, and Aday to pay $2.1 million in restitution.\u0026nbsp; Both defendants were also sentenced to serve three years of supervised release and pay a $100,000 fine.\u0026nbsp; In December 2012, each pleaded guilty to one count of conspiracy to commit health care fraud.\u003C\/p\u003E    \u003Cp\u003E  According to court documents, Rodriguez was the owner of both Caring Nurse Home Health Corp. and Good Quality Home Health Inc., and Aday was a manager at Caring Nurse and owner of Good Quality.\u003C\/p\u003E    \u003Cp\u003E  According to plea documents, Rodriguez and Aday conspired with patient recruiters for the purpose of billing the Medicare program for unnecessary home health care and therapy services.\u0026nbsp; Rodriguez, Aday and their co-conspirators paid kickbacks and bribes to patient recruiters.\u0026nbsp; In return, recruiters provided patients to Caring Nurse and Good Quality, as well as prescriptions, plans of care (POCs) and certifications for medically unnecessary therapy and home health services for Medicare beneficiaries.\u0026nbsp; Rodriguez and Aday used these prescriptions, POCs and medical certifications to fraudulently bill the Medicare program for home health care services, which both Rodriguez and Aday knew was in violation of federal criminal laws.\u003C\/p\u003E    \u003Cp\u003E  According to court documents, nurses and office staff at Caring Nurse and Good Quality falsified patient files to make it appear the Medicare beneficiaries qualified for services they did not.\u0026nbsp; Rodriguez admitted to knowing that these files were falsified so the Medicare program could be billed for medically unnecessary therapy and home health related services.\u0026nbsp;\u003C\/p\u003E    \u003Cp\u003E  From approximately January 2006 through June 2011, Caring Nurse and Good Quality submitted approximately $48 million in claims for home health services that were not medically necessary and\/or were not provided.\u0026nbsp; According to court documents, Medicare paid approximately $33 million for these fraudulent claims.\u003C\/p\u003E    \u003Cp\u003E  This case is being prosecuted by Assistant Chief Joseph S. Beemsterboer of the Criminal Division\u2019s Fraud Section.\u0026nbsp; The case was investigated by the FBI and HHS-OIG, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division\u2019s Fraud Section and the U.S. Attorney\u2019s Office for the Southern District of Florida.\u003C\/p\u003E    \u003Cp\u003E  Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion. In addition, HHS\u2019s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers.\u003C\/p\u003E    \u003Cp\u003E  To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: www.stopmedicarefraud.gov.\u003C\/p\u003E","changed":"\u003Ctime datetime=\u00222025-02-05T14:15:39-05:00\u0022\u003E1738782939\u003C\/time\u003E\n","component":[{"uuid":"46370d9f-afee-4408-a29b-48812154bc0c","name":"Criminal Division"}],"created":"\u003Ctime datetime=\u00222013-02-27T13:09:41-05:00\u0022\u003E1361988581\u003C\/time\u003E\n","date":"1361966400","image":"","number":"13-243","teaser":"The owners and operators of two Miami health care agencies were sentenced to nine years and more than four years in prison today, respectively, and ordered to pay millions in restitution for their participation in a $48 million home health Medicare fraud scheme that billed for unnecessary home health care and therapy services.","title":"Owners of Miami Home Health Companies Sentenced to Prison\u003Cbr \/\u003E\r\nin $48 Million Health Care Fraud Scheme","topic":"","url":"https:\/\/www.justice.gov\/archives\/opa\/pr\/owners-miami-home-health-companies-sentenced-prison-48-million-health-care-fraud-scheme","uuid":"6be2ab61-e8fd-4a0a-88a2-7b2661d74377"},{"attachment":"","body":"\u003Cdiv id=\u0022content\u0022\u003E     \u003Cdiv class=\u0022contentSub\u0022\u003E                                   \u003Cdiv\u003E\u003C\/div\u003E       \u003Cdiv\u003E                                                                  \u003Cp class=\u0022pr\u0022\u003E The owners and operators of two Miami health care agencies were sentenced to nine years and more than four years in prison today, respectively, and ordered to pay millions in restitution for their participation in a $48 million home health Medicare fraud scheme that billed for unnecessary home health care and therapy services.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EThe sentences, imposed in federal court in the Southern District of Florida, were announced by U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida; Assistant Attorney General Lanny A. Breuer of the Justice Department\u2019s Criminal Division; Michael B. Steinbach, Special Agent in Charge of the FBI\u2019s Miami Field Office; and Special Agent in Charge Christopher B. Dennis of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), Office of Investigations Miami Office.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EU.S. District Judge Frederico A. Moreno sentenced \u003Cstrong\u003ERogelio Rodriguez\u003C\/strong\u003E, 43, and \u003Cstrong\u003ERaymond Aday,\u003C\/strong\u003E 48, both of the Miami-Dade area, to 108 months and 51 months in prison, respectively.  In addition to the prison term, Judge Moreno sentenced Rodriguez to pay $33 million in restitution, and Aday to pay $2.1 million in restitution.  Both defendants were also sentenced to serve three years of supervised release and pay a $100,000 fine.  In December 2012, each pleaded guilty to one count of conspiracy to commit health care fraud.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EAccording to court documents, Rodriguez was the owner of both Caring Nurse Home Health Corp. and Good Quality Home Health Inc., and Aday was a manager at Caring Nurse and owner of Good Quality.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EAccording to plea documents, Rodriguez and Aday conspired with patient recruiters for the purpose of billing the Medicare program for unnecessary home health care and therapy services.  Rodriguez, Aday and their co-conspirators paid kickbacks and bribes to patient recruiters.  In return, recruiters provided patients to Caring Nurse and Good Quality, as well as prescriptions, plans of care (POCs) and certifications for medically unnecessary therapy and home health services for Medicare beneficiaries.  Rodriguez and Aday used these prescriptions, POCs and medical certifications to fraudulently bill the Medicare program for home health care services, which both Rodriguez and Aday knew was in violation of federal criminal laws.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EAccording to court documents, nurses and office staff at Caring Nurse and Good Quality falsified patient files to make it appear the Medicare beneficiaries qualified for services they did not.  Rodriguez admitted to knowing that these files were falsified so the Medicare program could be billed for medically unnecessary therapy and home health related services.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EFrom approximately January 2006 through June 2011, Caring Nurse and Good Quality submitted approximately $48 million in claims for home health services that were not medically necessary and\/or were not provided.  According to court documents, Medicare paid approximately $33 million for these fraudulent claims.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003EThis case is being prosecuted by Assistant Chief Joseph S. Beemsterboer of the Criminal Division\u2019s Fraud Section.  The case was investigated by the FBI and HHS-OIG, and was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division\u2019s Fraud Section and the U.S. Attorney\u2019s Office for the Southern District of Florida.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003ESince its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion. In addition, HHS\u2019s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, is taking steps to increase accountability and decrease the presence of fraudulent providers.\u003C\/p\u003E     \u003Cp class=\u0022pr\u0022\u003ETo learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: \u003Ca href=\u0022http:\/\/www.stopmedicarefraud.gov\u0022 target=\u0022_blank\u0022\u003Ewww.stopmedicarefraud.gov\u003C\/a\u003E.\u003C\/p\u003E      \t         \u003Cp class=\u0022pr\u0022\u003EA copy of this press release may be found on the website of the United States Attorney\u0027s Office for the Southern District of Florida at \u003Ca href=\u0022http:\/\/www.usdoj.gov\/usao\/fls\u0022\u003Ehttp:\/\/www.usdoj.gov\/usao\/fls\u003C\/a\u003E. Related court documents and information may be found on the website of the District Court for the Southern District of Florida at \u003Ca href=\u0022http:\/\/www.flsd.uscourts.gov\u0022\u003Ehttp:\/\/www.flsd.uscourts.gov\u003C\/a\u003E or on \u003Ca href=\u0022http:\/\/pacer.flsd.uscourts.gov\u0022\u003Ehttp:\/\/pacer.flsd.uscourts.gov\u003C\/a\u003E.\u003C\/p\u003E       \u003C\/div\u003E                   \u003C\/div\u003E                                 \u003C\/div\u003E","changed":"\u003Ctime datetime=\u00222015-03-12T16:23:20-04:00\u0022\u003E1426191800\u003C\/time\u003E\n","component":[{"uuid":"7134133d-a27a-4c2c-8c45-cdc1da8e9c1a","name":"USAO - Florida, Southern"}],"created":"\u003Ctime datetime=\u00222015-03-12T16:23:20-04:00\u0022\u003E1426191800\u003C\/time\u003E\n","date":"1361966400","image":"","number":"","teaser":"","title":"Owners Of Miami Home Health Companies Sentenced To Prison In $48 Million Health Care Fraud Scheme","topic":"","url":"https:\/\/www.justice.gov\/usao-sdfl\/pr\/owners-miami-home-health-companies-sentenced-prison-48-million-health-care-fraud-scheme","uuid":"addfe1bf-8adf-4c40-9974-29e1783da4a4"}]}