Medicare home health care arrest florida


32 Miami suspects charged with fraud totaling more than $200 million
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Dean Ernest had been living in a nursing home about a year when his son, John, got a call last winter asking if his father was experiencing back pain and would like a free orthotic brace. The caller said he was with Medicare. John Ernest didn't believe him, said "no" to the brace and hung up. He didn't give out his father's Medicare number. And yet, not just one, but 13 braces addressed to Dean arrived soon afterward at the younger Ernest's house in central Pennsylvania — none of which Dean Ernest wanted or needed.


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A prominent Florida eye doctor once accused of bribing Democratic Sen. The federal corruption trial of U. Bob Menendez will begin as scheduled next month after a judge said he'd wait to rule on the Democrat's motion to dismiss the charges based on a Supreme Court ruling.

A jury has failed to reach a verdict on the first day of deliberations in the Medicare fraud trial of a prominent Florida eye doctor who is accused separately of bribing a U. The trial on health care fraud charges has been delayed until spring for a prominent Florida eye doctor also linked to a corruption case against New Jersey Sen. Bob Menendez. The Justice Department calls it the largest criminal health care fraud case ever brought against individual suspects: Three people are accused of orchestrating a massive fraud involving a number of Miami-based health care providers. The three facing charges are all from Florida's Miami-Dade County; they include Philip Esformes, 47, owner of more than 30 Miami-area nursing and assisted living facilities; hospital administrator Odette Barcha, 49; and physician assistant Arnaldo Carmouze, 56, the Justice Department says.

More than a year after being hit with multiple lawsuits alleging Medicare fraud, Ocala-based cardiologist Dr.

Medicare Fraud Arrests: More Than 30 Busted in Miami in Nationwide Takedown - NBC 6 South Florida

A fugitive from Miami who has been on the run for almost 20 years is back in federal custody after he was arrested in Nicaragua. Three Florida residents have been charged in the "largest single criminal health-care fraud case ever brought against individuals" by the U.

Local man part of DOJ's health care fraud raid

The owner of more than 30 Miami-area skilled nursing and assisted living facilities, as well as a hospital administrator and a physician's assistant were charged in an indictment with conspiracy, money laundering and health-care fraud, the U. Attorney's office in Miami said. The indictment claims that Esformes, 47, with his co-conspirators, cycled thousands of Medicare and Medicaid beneficiaries through his Esformes Network facilities despite the fact they didn't qualify for such care.

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At those facilities, prosecutors said, they also "received medically unnecessary services that were billed to Medicare and Medicaid," the huge government-run health programs that cover primarily senior citizens and the poor, respectively. Prosecutors say that Esformes operated the Esformes Network for "more than 14 years Assistant Attorney General Leslie Caldwell of the Justice Department said: "This is the largest single criminal health-care fraud case ever brought against individuals by the Department of Justice, and this is further evidence of how successful data-driven law enforcement has been as a tool in the ongoing fight against health-care fraud.

South Florida is a hot spot for health-care billing fraud schemes that target the huge federal Medicare program, and the giant joint federal-state Medicaid program. As a result, the region has received special scrutiny from federal health regulators and prosecutors.

November 12222

Miami U. Attorney Wifredo Ferrer said, "Medicare fraud has infected every facet of our health-care system. Prosecutors said Esformes faces a potential prison term of life imprisonment under federal sentencing guidelines. In addition to Esformes, year-old Odette Barcha, who had been director of outreach programs at Larkin Community Hospital, and physician's assistant Arnaldo Carmouze, 56, also were charged in the case and arrested early Friday morning.

After being presented in federal court Friday afternoon, they were ordered held in jail pending detention hearings, with Carmouze's scheduled for next Wednesday. Attorneys said the businessman never paid bribes to doctors nor to the regulator. The co-conspirators said the bribes went both ways, testifying Esformes accepted kickbacks to offer other health care providers access to patients in his facilities and bill Medicare for services that were unnecessary or fake.

Another coach implicated was recently suspended from Auburn University. There was also a series of text messages discussing SAT scores between Esformes and Rick Singer, the admissions consultant at the center of a college bribery scandal who pleaded guilty in a Boston federal court.

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