Miami Medical Clinic Owner Pleads Guilty In $3.7 Million Fraud

Miami Medical Clinic Owner Pleads Guilty In $3.7 Million Fraud

MIAMI, FL — The former owner of a Miami medical clinic has pleaded guilty to federal fraud charges in connection with a $3.7 million scheme to defraud Medicare by submitting fraudulent billings from the clinic and by supplying patients to three home health agencies that submitted fraudulent bills.

Fifty-three-year-old Juliette Anais Tamayo, who owned Sunshine Medical Care Group, Inc., pleaded guilty to conspiracy to commit health care fraud and wire fraud, according to federal prosecutors. She previously pleaded guilty to conspiracy to pay and receive kickbacks.

The guilty plea was announced by Assistant U.S. Attorney General Brian A. Benczkowski of the Justice Department’s Criminal Division, U.S. Attorney Ariana Fajardo Orshan of Miami, Special Agent in Charge George L. Piro of the FBI’s Miami Field Office, Special Agent in Charge Shimon R. Richmond of the U.S. Department of Health and Human Services Office of Inspector General and Special Agent in Charge Brian Swain of the U.S. Secret Service’s Miami Field Office.

Federal prosecutors said Tamayo accepted kickbacks from patient recruiters and from the owners of several Miami-area home health agencies in exchange for providing prescriptions for home health services to patients at her medical clinic.

“The prescriptions, in turn, were used by the home health agencies to bill Medicare for home health services purportedly provided to Medicare beneficiaries,” prosecutors said. “Tamayo paid a portion of the kickbacks she received from the home health agencies to physicians who worked at Sunshine to induce them to write the fraudulent prescriptions.”

The principals of the home health agencies and a physician with Sunshine who wrote fraudulent prescriptions previously pleaded guilty to conspiracy to commit health care fraud.

The investigation was conducted by the FBI, HHS-OIG and the U.S. Secret Service. The case is being prosecuted by trial attorneys Adam G. Yoffie and Gary A. Winters of the Criminal Division’s Fraud Section, which leads the Medicare Fraud Strike Force.

Since its inception in March 2007, the Medicare Fraud Strike Force has charged nearly 4,000 people who have collectively billed the Medicare program for more than $14 billion.

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Republished by the Law Office of Scott A. Ferris, P.A.