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Four Miami-Area Residents Sentenced In $10 Million Medicare Fraud Scheme
Date:6/5/2009

as sent to a laboratory for analysis, so that the resulting laboratory reports would make it appear that the patients actually had dangerously low blood platelet counts. Specifically, Dagnesses would obtain vials of blood drawn from Midway's patients and place those vials in a blood centrifuge. After rotating the blood in the centrifuge for approximately 15 minutes, the blood would separate into its component parts, enabling Dagnesses to extract the platelets from the sample. Dagnesses would then return the adulterated blood to his co-conspirators at Midway, who would send it to a laboratory for testing.

Dagnesses admitted he was generally paid $1,000 for every vial of blood that he tainted for his co-conspirators at Midway. Dagnesses also admitted he was fully aware that the purpose of tainting the blood was to obtain false laboratory reports for Midway's medical files, which would make it appear that the medications allegedly provided at Midway were medically necessary, when in fact they were not. At today's sentencing, Dagnesses was found to have engaged in similar conduct at two additional fraudulent HIV infusion clinics, and he was held accountable for conspiring to cause the submission of more than $20 million in fraudulent claims at the three clinics.

Nodarse and Carrazana worked at Midway as medical assistants. In their pleas, the two defendants admitted to making false entries in medical records that indicated they had provided medications on particular dates and in particular dosages to patients, when, in fact, they had not. The two also admitted to being fully aware that blood samples drawn from Midway's patients were tainted to make it appear that the patients had conditions they did not have. Despite this awareness, both assistants admitted to administering medications to patients that they knew the patients did not need. Both defendants were found to have conspired to submit more than $10 million in false and fraudule
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SOURCE U.S. Department of Justice
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