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$10 million Medicare fraud scheme involves Miami HIV Infusion Clinics

By Nolan and Auerbach

Four Miami-area physicians and medical assistants pleaded guilty March 23, 2009 to a $10 million Medicare fraud scheme involving HIV infusion clinics, according to a Department of Justice (DOJ) press release.  The four defendants worked at Midway Medical Center Inc.  a Miami clinic that purported to specialize in the treatment of HIV patients. One of the accused physicians admitted to similar conduct at five other Miami area HIV-infusion clinics.

One of the defendants, a physician who co-owns the Midway clinic and practiced at the others, admitted he and his co-conspirators billed the Medicare program for HIV injection and infusion services that he knew were medically unnecessary and, in some instances, never actually were provided. The accused admitted to causing more than $20 million in false claims to be submitted to the Medicare program.

To see the entire press release, go to http://www.usdoj.gov/opa/pr/2009/March/09-crm-261.html. For more about qui tam law and Healthcare Fraud, contact Nolan and Auerbach, PA.

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Full post as published by Medicare Fraud 101 on March 23, 2009 (boomark / email).