Healthcare Finance NewsHealthcare Finance News
  • Home
  • Sections
    • Industry News
    • Community Care
    • Hospitals & IDNs
    • Payers
    • Solutions and Services
  • Issues
    • March 2010
    • Jan/Feb 2010
    • December 2009
    • November 2009
    • October 2009
    • Sept. 2009
  • Resource Central
    • All Resources
    • Research
    • White Papers
    • Web Seminars
    • Videos
    • Podcasts
  • Blog
  • Events
  • Jobs
  • About
  • Subscribe
  • Advertise
  • Newsletters
  • RSS
  • Twitter feed
  • LinkedIn group
Select Your Homepage
Search eConnect
Login | Register
Home » News » Industry News

E-mail to a FriendPrint
Social Bookmarking
  • Delicious Delicious
  • Digg Digg
  • StumbleUpon StumbleUpon
  • Reddit Reddit
  • Newsvine Newsvine
  • Furl Furl
  • Facebook Facebook
  • Google Google
  • Yahoo Yahoo
Medical clinic owner pleads guilty to $5.3M Medicare fraud scheme

Medical clinic owner pleads guilty to $5.3M Medicare fraud scheme

January 09, 2009 | Chelsey Ledue, Associate Editor

Suggested Content

  • Owner of pharmaceutical company pleads guilty to Medicare fraud
  • Miami doctor, HIV clinic administrator plead guilty to Medicare fraud
  • HIV infusion clinic administrator gets 30 months and will pay 8.2M for Medicare fraud
  • Two Doctors and Two Medical Assistants Plead Guilty in $10 Million Medicare Fraud Scheme
  • Owner of DME firm gets jail time, $1.9M fine for Medicare fraud
  • Medicare Fraud Strike Force expands, more arrests announced
  • Eight Miami-Dade residents indicted for AIDS/HIV infusion fraud
  • Miami physicians defraud Medicaid of $6.8 million
  • Florida woman sentenced to 10 years for $170 million Medicare fraud
  • Blog: How the legit get hit

WASHINGTON – The owner and operator of two Miami medical clinics has pled guilty to defrauding the Medicare program for $5.3 million.

According to Acting Assistant Attorney General Matthew Friedrich of the Criminal Division and U.S. Attorney R. Alexander Acosta of the Southern District of Florida, Orlando Pascual Jr., 43, pled guilty on Jan. 7, 2009, to conspiracy to commit healthcare fraud before U.S. District Judge Ursula Ungaro. Pascual admitted that he co-owned two Miami clinics, named Medcore Group LLC and M&P Group of South Florida, Inc., that appeared to specialize in the treatment of HIV-positive patients.

According to reports, beginning in August 2004 and continuing through November 2006, Pascual conspired with others to submit approximately $5.3 million in fraudulent claims to Medicare. He also pled guilty to two separate charges related to laundering the proceeds of the healthcare fraud.

Pascual admitted that Medcore and M&P were operated for the purpose of defrauding Medicare, that the treatments for infused or injected drugs were not medically necessary and that he and others paid cash kickbacks to the patients for every visit to the clinic.

Pascual is currently jailed for Medicare fraud involving the operation of a durable medical equipment company in Miami from 2001 to 2003. Sentencing in this case is scheduled for April 3, 2009.

Seven co-defendants in the case are scheduled for trial beginning Feb. 9, 2009, in the Southern District of Florida.

The case was brought as part of the Medicare Fraud Strike Force (MFSF), supervised by the Criminal Division's Fraud Section and U.S. Attorney Acosta of the Southern District of Florida. Since the inception of MFSF operations, federal prosecutors have indicted 106 cases with 189 defendants in both Los Angeles and Miami. Collectively, these defendants fraudulently billed the Medicare program for more than half a billion dollars.

Related Topics:
  • Florida
  • Matthew Friedrich
  • Medicare
  • Miami
  • Orlando Pascual Jr.
  • R. Alexander Acosta
  • Washington

Reader Comments (0)Login to Post a Comment

receive news by email

Most Popular

Latest Headlines
Most Popular
  • Michigan doctor convicted in $18.3M Medicare fraud scheme
  • P4P models could improve medical professionalism
  • Economist says episode payments will bend healthcare cost
  • Hospital CEO turnover rate increases
  • Number of uninsured Americans could grow by 10M in five years
  • High private-payer margins can lead to negative Medicare margins
  • New York hospital official pleads guilty to bid rigging and fraud
  • Insurance plans say health reform bill will drive up premiums
  • Emdeon to bolster payer offerings with HTMS deal
  • Study finds nursing workforce is growing and diversifying
Syndicate content

HEALTHCARE FINANCE JOB SPOT

  • Controller - Rady Children?s Hospital - San Diego
  • Management Analyst Financial - Rady Children?s Hospital - San Diego
  • Director of Patient Financial Services - Vista Health System - Waukegan, Illinois
  • Epic Business Systems Analyst Ambulatory Practice Management Revenue Cycle - Lee Memorial Health System - Fort Myers, FL
  • Healthcare Consulting Partner/Leader Performance Improvement, Healthcare Finance and Operations - Tatum - Chicago and Dallas
more jobs
  • EHRWatch.com

    EHRWatch.com offers news, commentary and community participation on the developments in electronic health records.

  • Priming the Pump

    Priming the Pump provides practical news on the stimulus package and the incentives that it offers to healthcare providers.

  • NHINWatch

    Visit NHINWatch.com for coverage of the Nationwide Health Information Network.

  • Mobile Health Watch

    Stay up to date on the latest mobility news at Mobile Health Watch.

  • MedTech Publishing

    Visit our company Web page to learn more about MedTech Publishing.

  • LinkedIn

    Join our LinkedIn group to connect with other Healthcare Finance News readers.

  • Healthcare Finance Job Spot

    Check out the latest open positions at Healthcare Finance Job Spot.

  • Healthcare IT News

    Visit Healthcare IT News for the latest health information technology news.

  • Facebook

    Join Healthcare Finance News on Facebook to connect with other readers!

Marketplace

  • Home
  • Issues
  • Resource Central
  • Blog
  • Events
  • Subscribe
  • Advertise
  • About Us
  • Site Map
  • Privacy Policy
Healthcare Finance News is a publication of MedTech Publishing Company LLC.
For more information about MedTech Publishing Company and its publications, please visit medtechpublishing.com.
©2009 MedTech Publishing
Powered by Phase2 Technology.