Tag Archives: FBI

Miami couple faces lengthy sentence for Medicare fraud

Lawrence Duran was a Miami healthcare executive who regularly lobbied Congress in favor of legislation to boost government subsidies for his industry: community mental health centers. He visited with U.S. Rep. Ileana Ros-Lehtinen in Washington to drum up support. He, his girlfriend and other members of his lobbying organization threw a fundraiser for another Miami congressman, Rep. Kendrick Meek, when he ran for the U.S. Senate.

But Justice Department officials paint a far more sinister portrait of Duran and his girlfriend, Marianella Valera. They say the lobbying work was all a front to help them steal more money from the taxpayer-funded Medicare program.

Now Duran and Valera, who each pleaded guilty this year to Medicare fraud charges of running the biggest mental-health racket in the nation, face the prospect of spending the rest of their lives in prison for orchestrating the $205 million scam.

Medicare fraud case nets dozens of arrests

“On Tuesday and Wednesday, federal agents fanned out across three South Florida counties, arresting a total of 42 Medicare fraud offenders. Three others charged are believed to be in Florida. The sweep came almost one year after the indictment of Miami-based American Therapeutic Corp., with seven regional clinics. A total of 24 defendants, including senior executives, psychiatrists and counselors, were charged, netting several guilty pleas and one trial conviction. That case alone accounted for $200 million in fraudulent Medicare claims during the past decade. The agency paid out $83 million.”

Dozens arrested in Medicare mental health fraud

Federal agents have arrested dozens of suspects charged with bilking Medicare of hundreds of millions of dollars in bogus services for mental health therapy and other types of healthcare.

Agents with Health and Human Services and the FBI have fanned out across three South Florida counties, arresting clinic owners, healthcare employees, patient recruiters and assisted living facility owners who allegedly supplied hundreds of patients to the mental health clinics.

Forest Pharmaceuticals Sentenced to Pay $164 Million for Criminal Violations

WASHINGTON — Drug manufacturer Forest Pharmaceuticals Inc. was sentenced today by U.S. District Judge Nancy Gertner to pay a criminal fine of $150 million and forfeit assets of $14 million following the company’s guilty plea in November 2010 to one felony count of obstructing justice, one misdemeanor count of distributing an unapproved new drug in interstate commerce and one misdemeanor count of distributing a misbranded drug in interstate commerce, the Justice Department announced.

Mental health clinics targeted in Medicare fraud crackdown

Even by Miami-Dade’s reputation for Medicare fraud, the indictment was a shocker: American Therapeutic’s patients could not feed themselves or control their own bodily waste. Many lacked the mental capacity to respond to counseling; instead they simply stared at walls or watched TV. An employee complained that those patients should be ineligible for Medicare since they could not benefit from treatment.She got fired. That launched whistle-blower and criminal investigations that led to the Justice Department’s takedown Thursday of Miami-based American Therapeutic Corp., the nation’s largest chain of mental health clinics.