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Anna Ramirez-Ambriz, Medicaid Fraud, Texas 2017

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Anna Ramirez-Ambriz, 55, Guilty of Defrauding Medicaid of $3.1 Million

In a shocking case of healthcare fraud, Anna Ramirez-Ambriz, the owner of Compassionate Medical Supply in Edinburg, Texas, has pleaded guilty to defrauding Medicaid of more than $3.1 million. The 55-year-old McAllen resident admitted to submitting false and fraudulent claims to Texas Medicaid in relation to incontinence supplies between 2007 and 2013.

As part of her plea deal, Ramirez-Ambriz admitted to billing Texas Medicaid for higher quantities and more costly incontinence products than were actually delivered to Texas Medicaid recipients. The scheme resulted in a loss of $3,143,149.41 to Medicaid, a staggering amount that highlights the severity of Ramirez-Ambriz’s crimes.

U.S. District Judge Randy Crane accepted the plea on [no date mentioned] and has set sentencing for June 13, 2017. At that time, Ramirez-Ambriz faces up to 10 years in federal prison and a possible fine of up to $250,000. She will remain in custody pending the hearing.

The investigation into Ramirez-Ambriz’s scheme was conducted by the Texas Attorney General’s Medicaid Fraud Control Unit, the FBI, and the Department of Health and Human Services-Office of Inspector General. Assistant U.S. Attorneys Andrew Swartz and Michael Day are prosecuting the case.

Compassionate Medical Supply, the company owned by Ramirez-Ambriz, played a key role in her scheme to defraud Medicaid. The company’s activities highlight the need for increased oversight and regulation in the healthcare industry to prevent similar scams in the future.

As the investigation continues, it remains to be seen how far-reaching the consequences of Ramirez-Ambriz’s actions will be. However, one thing is clear: her guilty plea marks a significant victory for law enforcement and a major blow to those who seek to exploit the healthcare system for personal gain.

In a statement, the U.S. Attorney’s Office noted that the case highlights the importance of protecting taxpayer dollars and ensuring that those who seek to defraud the system are held accountable.

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