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Two Miami Men Sentenced for Roles in $50 Million Medicare Fraud Scheme
MIAMI, FL – WASHINGTON – Two former patient recruiters for Miami-based mental health clinic Biscayne Milieu Health Care Inc. were sentenced today for their participation in a Medicare fraud scheme involving the submission of more than $50 million in fraudulent billings to Medicare.
Anthony Roberts, 45, and Derek Alexander, 39, both of Miami, were each sentenced today by U.S. District Judge Robert N. Scola Jr. in the Southern District of Florida. Roberts was sentenced to serve 87 months in prison and ordered to pay $887,085 in restitution. Alexander was sentenced to serve 42 months in prison and ordered to pay $300,876 in restitution.
Roberts and Alexander were each convicted of one count of conspiracy to commit a health care kickback scheme and a substantive kickback charge on August 24, 2012, after a two-month trial.
The scheme involved paying patient recruiters, such as Roberts and Alexander, to refer ineligible Medicare beneficiaries to Biscayne Milieu for purported PHP services that were never provided. Many of the patients admitted to Biscayne Milieu were not eligible for PHP because they were chronic substance abusers, suffered from severe dementia or Alzheimer’s disease and would not benefit from group therapy, or had no mental health diagnosis at all but were seeking fraudulent mental health treatment in order to be declared exempt from certain requirements for their applications for United States citizenship.
The investigation was led by the FBI with the assistance of HHS-OIG, and was brought by the U.S. Attorney’s Office for the Southern District of Florida in coordination with the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section. Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion.
Roberts and Alexander were among the individuals involved in the scheme that was brought down by the investigation and prosecution by the U.S. Attorney’s Office for the Southern District of Florida in coordination with the Medicare Fraud Strike Force.
Defendant Information:
Name: Anthony Roberts
Crime: Conspiracy to commit a health care kickback scheme and a substantive kickback charge
City and State: Miami, FL
Date: August 24, 2012
Sentence: 87 months in prison and ordered to pay $887,085 in restitution
Name: Derek Alexander
Crime: Conspiracy to commit a health care kickback scheme and a substantive kickback charge
City and State: Miami, FL
Date: August 24, 2012
Sentence: 42 months in prison and ordered to pay $300,876 in restitution
Key Facts
- State: Florida
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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