Navigation Links
Miami Jury Convicts Medical Company Owner of Medicare Fraud
Date:10/4/2007

Fifth Trial Conviction for Medicare Strike Force Since March

WASHINGTON, Oct. 4 /PRNewswire-USNewswire/ -- A federal jury in Miami has convicted the owner and operator of Direct Nursing Assistance Inc. of Medicare fraud, Assistant Attorney General Alice S. Fisher of the Criminal Division and U.S. Attorney R. Alexander Acosta of the Southern District of Florida announced today.

After a four day trial, Rodolfo Aenlle, 47, was found guilty on all counts of conspiracy, fraud, taking kickbacks, and related charges. U.S. District Judge Donald Middlebrooks of the Southern District of Florida remanded Aenlle into immediate custody following the verdict.

Aenlle faces a maximum of 40 years in prison. His sentencing is scheduled for Dec. 13, 2007.

Aenlle owned and operated Direct Nursing Assistance Inc. from October of 2001 through June of 2006. The jury heard testimony that Aenlle paid cash kickbacks to patients and physicians as part of his scheme to defraud Medicare. While Aenlle was president of Direct Nursing Assistance, the company submitted claims to Medicare for $1 million. Evidence at trial established that Aenlle had prescription pads printed, and forged the names and signatures of physicians. Trial exhibits confirmed that Aenlle had 130 paid patients at Direct Nursing who received services and drugs that they did not need. Many of the phony prescriptions were for non-commercially available aerosol medications so that they could be illegally "compounded." Compounding is the process of a pharmacist making medication as opposed to a pharmaceutical manufacturer.

The jury found that Aenlle conspired with the owners of Unimed Pharmacy to refer paid patients to the pharmacy in exchange for half of what Medicare paid for compounded aerosols. One of the patients testified during trial that Aenlle paid her $150 per month to use her Medicare card and to obtain phony prescriptions in her name. Unimed Pharmacy fraudulently billed Medicare more than $200,000 using the phony prescriptions that Aenlle obtained. In exchange, Aenlle received kickbacks of over $100,000.

Aenlle's partner at Direct Nursing Assistance, Carlos Carrion, was convicted of Medicare Fraud in September 2007.

In 2006, the Medicare program paid for over $155 million worth of aerosol medications in Miami-Dade County alone. These drugs were the single most common item billed to Medicare Part B and accounted for over 32 percent of all claims filed with the Durable Medical Equipment (DME) Regional Carrier in Miami-Dade County. From 2005 to 2006, claims for aerosol medications rose over 100 percent in Miami-Dade County. According to Medicare data, Miami-Dade County alone accounted for more paid DME claims than every state in the country except California, Texas, New York, Michigan, and Ohio.

The case was prosecuted by Deputy Chief Kirk Ogrosky from the Fraud Section of the Criminal Division and Assistant U.S. Attorney Ryan K. Stumphauzer of the Southern District of Florida. The U.S. Department of Health and Human Services Office of the Inspector General, the FBI, and the Florida Medicaid Fraud Control Unit provided investigative assistance.

The Medicare Strike Force is led by the Fraud Section of the Criminal Division in Washington, D.C., and the office of U.S. Attorney R. Alexander Acosta of the Southern District of Florida. The Strike Force operates out of the federal Health Care Fraud Facility in Miramar, Fla. Since March 1, 2007, the strike force has brought approximately 80 cases against 120 defendants, including 42 convictions.


'/>"/>
SOURCE U.S. Department of Justice
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Ex-convicts Die Sooner Than the Normal People
2. Check if your “Favourite medical web-site” is indulging in Quackey
3. Teens turning to Internet for medical queries
4. Robots craft medical history
5. NBE to conduct test for medical students from abroad
6. Air pollution combined with greater medical needs
7. Indian Nationals with Foreign Medical Degrees can now practice in India
8. Children! Protecting them from medical mistakes
9. More information sought by patients on medical errors
10. SARS necessitates medical masks
11. Meditation Works Medically
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2016)... Atlanta, Georgia (PRWEB) , ... May 26, 2016 ... ... a certificate in intellectual property (IP) to its specialty academic programs. , Answering ... joins the college’s existing certificate programs in health law, and environmental and land ...
(Date:5/26/2016)... ... May 26, 2016 , ... The Woodlands at John Knox ... new model of care for living and healing, celebrated its grand opening, today. The ... a Real Home provided by Empowered Staff. , “This is an incredibly fulfilling time ...
(Date:5/26/2016)... ... May 26, 2016 , ... MadgeTech will be showcasing its line of ... New Hampshire at the MadgeTech headquarters. With products sold in more than 100 countries ... agencies, including NASA. , In 2012, NASA strategically set up 17 RHTemp101A ...
(Date:5/26/2016)... SURPRISE, ARIZ. (PRWEB) , ... May 26, 2016 , ... ... worry of American families. , The 550 employees of Sun Health Senior Living ... plan through Aetna that reduces their doctor and prescription copays for the year, while ...
(Date:5/26/2016)... ... May 26, 2016 , ... ... supply chain solutions, today announced the organization has earned its ISO 13485 certification, ... and is compliant with all rules and policies associated with ISO quality standard ...
Breaking Medicine News(10 mins):
(Date:5/26/2016)... 2016 TARE (Transarterial Radio-embolization) ... Savings and Overall Decreased Use of Hospital ... international specialist healthcare company, has today announced the ... Meeting of ISPOR (International Society for Pharmacoeconomics and ... (HCC) using yttrium-90 glass microspheres is associated with ...
(Date:5/25/2016)... und GERMANTOWN, Maryland , May ... mit Therawis bedient dringenden ... QIAGEN N.V. (NASDAQ: QGEN ... eine Lizenz- und Entwicklungsvereinbarung mit Therawis Diagnostics GmbH ... Onkologie eingegangen zu sein. Ein erstes Projekt wird ...
(Date:5/25/2016)... As illustrated by the Spring ... the numbers and momentum of cannabis in the US ... billions, more research and development push the sector forward. ... Legal Marijuana Markets Report  from from ArcView Market Research ... the increase in sector is attributed to adult use ...
Breaking Medicine Technology: