A Miami-area psychiatrist has pleaded guilty to his role in a massive Medicare fraud scheme that has left taxpayers reeling. Dr. Alan Gumer, 64, of Tamarac, Florida, admitted to participating in a conspiracy to commit healthcare fraud, which resulted in the submission of over $200 million in fraudulent claims to Medicare, according to a statement from the U.S. government.
Gumer was charged on February 15, 2011, with one count of conspiracy to commit healthcare fraud and four counts of healthcare fraud. He pleaded guilty to the single count of conspiracy to commit healthcare fraud.
Pursuant to his plea agreement, Gumer admitted to signing evaluations, notes, and other documents in medical files for patients who did not need the treatment for which American Therapeutic Corporation (ATC), where he worked, billed Medicare. He also admitted to referring hundreds of patients to a related company, the American Sleep Institute (ASI), for unnecessary diagnostic sleep disorder testing.
According to the plea agreement, Gumer’s participation in the fraud resulted in $19.3 million in fraudulent billing to the Medicare program. Sentencing for Gumer is scheduled for January 19, 2012.
Gumer faces a maximum of 10 years in prison and a $250,000 fine. The trial of co-defendants is scheduled to begin on November 7, 2011, before U.S. District Judge Patricia A. Seitz.
An indictment is merely an accusation, and defendants are presumed innocent unless and until proven guilty in a court of law.
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Key Facts
- State: Federal
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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