A former Director of Nursing in Florida has been sentenced to serve 57 months in prison for his role in a $7 million health care fraud scheme.
Armando Buchillon, 42, of Hialeah, Florida, was also sentenced to serve three years of supervised release and ordered to pay $1,896,739 in restitution following his July 29, 2014, guilty plea to one count of conspiracy to commit health care fraud.
U.S. District Judge Joan A. Lenard in the Southern District of Florida imposed the sentence.
According to Buchillon’s plea agreement and supporting factual proffer, Buchillon was a Director of Nursing at Anna Nursing, a Miami home health care agency that purported to provide home health and therapy services to Medicare beneficiaries.
As part of the fraudulent scheme, Buchillon and his co-conspirators regularly falsified patient documentation in order to make it appear that beneficiaries qualified for and received home health care services, when, in fact, many of the beneficiaries did not actually qualify for or receive such services.
This false documentation was submitted to Medicare to support the fraudulent reimbursement claims.
Additionally, Buchillon paid kickbacks and bribes to patient recruiters in return for the recruiters providing patients to Anna Nursing for services that were medically unnecessary or were not provided.
From October 2010 through April 2013, Anna Nursing was paid by Medicare approximately $7 million for fraudulent claims for home health care services.
The case was investigated by the FBI and HHS-OIG and was brought as part of the Medicare Fraud Strike Force, under the supervision of the Criminal Division’s Fraud Section and the U.S. Attorney’s Office for the Southern District of Florida.
This case is being prosecuted by Trial Attorneys Anne P. McNamara and A. Brendan Stewart of the Criminal Division’s Fraud Section.
Related Federal Cases
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- Darrell A. Hall, Conspiracy to Distribute a Controlled Substance, Health Care Fraud, Tax Evasion, Ohio 2009 · Florida
- Orlando Pascual Jr., Medicare Fraud, Florida 2023 · Florida
- Juan A. Tony Marrero, Medicare Fraud Scheme, Florida 2023 · Florida
Key Facts
- State: Florida
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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