Rogelio Rodriguez, Health Care Fraud, Florida 2013
Miami Duo Pleads Guilty in $48 Million Health Care Fraud Scheme
The owners and operators of two Miami health care agencies have pleaded guilty to participating in a $48 million home health Medicare fraud scheme.
Rogelio Rodriguez, 43, and Raymond Aday, 48, each pleaded guilty to one count of conspiracy to commit health care fraud before U.S. District Judge Federico A. Moreno in the Southern District of Florida on February 27, 2013.
According to court documents, Rodriguez was the owner of both Caring Nurse Home Health Corp. and Good Quality Home Health Inc., and Aday was a manager at Caring Nurse and owner of Good Quality.
The scheme involved billing the Medicare program for unnecessary home health care and therapy services. Rodriguez and Aday conspired with patient recruiters to provide patients to their companies in exchange for kickbacks and bribes.
Rodriguez and Aday used these kickbacks and bribes to falsify patient files for Medicare beneficiaries, making it appear as though they qualified for home health care and therapy services when, in fact, they did not.
From approximately January 2006 through June 2011, Caring Nurse and Good Quality submitted approximately $48 million in claims for home health services that were not medically necessary and/or not provided. Medicare paid approximately $33 million for these fraudulent claims.
Rodriguez and Aday each face a maximum penalty of 10 years in prison at sentencing.
Key Facts
- State: Florida
- Category: White Collar Crime
- Source: DOJ Press Release â†â€â€
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