Healthcare Fraud: Niurka Fernandez and Roberto Alvarez Pleaded Guilty to One Count of Conspiracy to Commit Health Care Fraud

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Medicare Fraud Fraud

<h2>Mother and Son Plead Guilty to Orchestrating &dollar;16 Million Medicare Fraud Scheme at Two Miami Pharmacies<&sol;h2>&NewLine;<p>A mother and son based in Miami each pleaded guilty today to fraud charges for their roles in a &dollar;16 million Medicare fraud scheme&period;<&sol;p>&NewLine;<p>U&period;S&period; Attorney Wifredo A&period; Ferrer of the Southern District of Florida&comma; Assistant Attorney General Leslie R&period; Caldwell of the Justice Department’s Criminal Division&comma; Special Agent in Charge George L&period; Piro of the FBI’s Miami Field Office 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><strong>Niurka Fernandez<&sol;strong>&comma; 54&comma; and <strong>Roberto Alvarez<&sol;strong>&comma; 29&comma; both of Miami&comma; each pleaded guilty to one count of conspiracy to commit health care fraud before U&period;S&period; District Judge Federico A&period; Moreno of the Southern District of Florida&period;  The sentencings have been scheduled for Nov&period; 8&comma; 2016&comma; before Judge Moreno&period;<&sol;p>&NewLine;<p>As part of her guilty plea&comma; Fernandez admitted that she was an owner of Calan Pharmacy &amp&semi; Discount Service LLC &lpar;Calan Pharmacy&rpar; and Bertyann Corp&period;&comma; doing business as Best Pharmacy&comma; two pharmacies located in Miami-Dade County&comma; Florida&period;  Fernandez was an organizer and leader of a Medicare fraud scheme that paid Medicare beneficiaries and patient recruiters for prescriptions that were medically unnecessary&comma; according to the plea agreement&period;  Fernandez also admitted that she and her co-conspirators at Calan Pharmacy and Best Pharmacy billed Medicare for many prescription medications that they never even dispensed to the beneficiaries&period;<&sol;p>&NewLine;<p>In connection with his guilty plea&comma; Alvarez admitted that he was involved in the Medicare fraud scheme at Best Pharmacy&period;  Alvarez purported to work at Best Pharmacy as a pharmacy technician&comma; but in fact facilitated kickback payments to Medicare beneficiaries&comma; according to the plea agreement&period;  While at Best Pharmacy&comma; Alvarez wrote checks to money launderers in order to obtain cash to pay the kickbacks to the Medicare beneficiaries&comma; he admitted&period;<&sol;p>&NewLine;<p>Medicare made more than &dollar;16 million in overpayments to Calan Pharmacy and Best Pharmacy as a result of the health care fraud scheme&comma; according to admissions made in connection with today’s pleas&period;<&sol;p>&NewLine;<p>The FBI and HHS-OIG investigated the case&comma; which was brought as part of the Medicare Fraud Strike Force under the supervision of the Criminal Division’s Fraud Section and U&period;S&period; Attorney’s Office of the Southern District of Florida&period;  Fraud Section Trial Attorneys L&period; Rush Atkinson and Lisa H&period; Miller are 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;<p>Related court documents and information may be found on the website of the District Court for the Southern District of Florida at <a href&equals;"http&colon;&sol;&sol;www&period;flsd&period;uscourts&period;gov&sol;"><u>www&period;flsd&period;uscourts&period;gov<&sol;u><&sol;a> or on <a href&equals;"http&colon;&sol;&sol;pacer&period;flsd&period;uscourts&period;gov&sol;"><u>http&colon;&sol;&sol;pacer&period;flsd&period;uscourts&period;gov<&sol;u><&sol;a>&period;<&sol;p>&NewLine;<p><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-sdfl&sol;pr&sol;mother-and-son-plead-guilty-orchestrating-16-million-medicare-fraud-scheme-two-miami">Original PressReleases &&num;8230&semi;<&sol;a><&sol;p>&NewLine;

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