HealthCare Fraud

Healthcare Fraud: Miguel Burgos Charged to Commit Health Care Fraud, One Count of Health Care Fraud

<h2>Florida Doctor Indicted For Role In &dollar;13&period;8 Million Medicare Fraud Scheme<&sol;h2>&NewLine;<p>Tampa&comma; FL – The medical director of a clinic in Orlando&comma; Florida&comma; was charged in a superseding indictment filed today for his alleged participation in a &dollar;13&period;8 million <strong>health care fraud scheme<&sol;strong> involving claims for expensive prescription drugs and physical therapy&period;<&sol;p>&NewLine;<p>U&period;S&period; Attorney A&period; Lee Bentley III of the Middle District of Florida&comma;  Assistant Attorney General Leslie R&period; Caldwell of the Justice Department’s Criminal Division&comma; and Special Agent in Charge Shimon R&period; Richmond of the U&period;S&period; Department of Health and Human Services-Office of Inspector General’s &lpar;HHS-OIG&rpar; Miami Regional Office made the announcement&period;<&sol;p>&NewLine;<p>Miguel Burgos&comma; M&period;D&period;&comma; 60&comma; of Gotha&comma; Florida&comma; was charged with one count of conspiracy to commit health care fraud&comma; one count of health care fraud and one count of conspiracy to make false statements relating to health care matters&period;  He is charged along with Yosbel Marimon&comma; 39&comma; of Winter Park&comma; Florida&comma; who was charged in the original indictment filed in this case on June 15&comma; 2016&period;  Marimon faces one new count of health care fraud in connection with false claims submitted for physical therapy&period;  A trial date on the superseding indictment has not yet been set&period;<&sol;p>&NewLine;<p>Burgos was the medical director of several Orlando-area clinics&comma; including Legend Medical &amp&semi; Rehabilitation Inc&period;&comma; Incare Medical &amp&semi; Rehab Center Inc&period;&comma; Assisting Health Center Inc&period; and CKD Health Care Inc&period; &lpar;collectively&comma; the clinics&rpar;&period;  The superseding indictment alleges that from approximately July 2008 through December 2011&comma; Burgos conspired with Marimon&comma; one of the clinics’ owners&comma; to defraud Medicare by causing the submission and concealment of false and fraudulent claims to Medicare&period;  According to the indictment&comma; Burgos allegedly signed fraudulent medical records that authorized the unnecessary treatment of Medicare beneficiaries and did so without examining the Medicare beneficiaries or the documents themselves&period;  These documents were allegedly used to support fraudulent claims to Medicare for expensive prescription drugs and physical therapy that were not provided and were not medically necessary&period;<&sol;p>&NewLine;<p>The indictment alleges that during the scheme&comma; Burgos and his co-conspirators billed Medicare approximately &dollar;13&period;8 million based on the false and fraudulent claims&period;<&sol;p>&NewLine;<p>An indictment is merely an allegation and the defendants are presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law&period;<&sol;p>&NewLine;<p>HHS-OIG investigated the case&comma; which was brought as part of the Medicare Fraud Strike Force&comma; supervised by the Criminal Division’s Fraud Section and the U&period;S&period; Attorney’s Office of the Middle District of Florida&period;  Fraud Section Trial Attorney Timothy Loper is prosecuting the case&period;<&sol;p>&NewLine;<p>Since its inception in March 2007&comma; the Medicare Fraud Strike Force&comma; now operating in nine cities across the country&comma; has charged nearly 2&comma;900 defendants who have collectively billed the Medicare program for more than &dollar;10 billion&period;  In addition&comma; the HHS Centers for Medicare &amp&semi; Medicaid Services&comma; working in conjunction with the HHS-OIG&comma; are taking steps to increase accountability and decrease the presence of fraudulent providers&period;<&sol;p>&NewLine;

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