A Miami man was sentenced to 60 months in prison for his role in a $2.3 million Medicare fraud scheme, officials announced on Tuesday.
Carlos Rodriguez Nerey, 45, of Miami, was sentenced by U.S. District Judge Darrin P. Gayles of the Southern District of Florida. In addition to imposing the prison term, Judge Gayles ordered Nerey to pay $2,366,736 in restitution.
Nerey, the owner and president of a Miami-area consulting and staffing company, was convicted of one count of receiving kickbacks in connection with a Federal Health Care Program and one count of conspiracy to defraud the United States and pay health care kickbacks.
According to evidence presented at trial, from October 2014 to September 2015, Nerey was involved in a conspiracy to accept kickbacks in return for referring Medicare beneficiaries to Mercy Home Care Inc. and D&D&D Home Health Care Inc. to serve as patients, including those who did not qualify for home health care services according to Medicare rules and regulations.
His acts contributed to the submission of $2 million in fraudulent claims to Medicare as well as their subsequent payment on those fraudulent claims, according to trial evidence.
The FBI and HHS-OIG investigated this case, which was brought as part of the Medicare Fraud Strike Force, supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office of the Southern District of Florida.
With his prison sentence, Nerey joins nearly 2,000 defendants who have been charged as part of the Medicare Fraud Strike Force, which has collectively billed the Medicare program for more than $6 billion since its inception in March 2007.
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Key Facts
- State: Florida
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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