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Physical Therapist Pleads Guilty in Connection with Detroit Home Health Care Fraud Scheme
Date:1/25/2010

n forms and discharge papers that facilitated All American's ability to bill Medicare for home health visits. These documents allowed All American to commence, continue or conclude the purported treatment of patients and the Medicare billing cycle. Vigil admitted that she was paid between $80 and $100 by the owners of All American for each form she signed. In total, Vigil was paid more than $127,000 for signing the forms. In the course of the scheme charged in the indictment, Vigil signed documents used to justify approximately $2.375 million in home health claims paid by Medicare to All American for patients Vigil either never saw or for whom home health services were medically unnecessary. Vigil admitted that she knew the files she helped falsify were used to justify fraudulent billings to Medicare.

This case is being prosecuted by Senior Trial Attorney John K. Neal and Trial Attorney Gejaa T. Gobena of the Criminal Division's Fraud Section. The case is being investigated by the FBI and the HHS Office of the Inspector General (HHS-OIG). The case 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 for the Eastern District of Michigan.

Since their inception in March 2007, Strike Force operations in seven districts have obtained indictments of more than 500 individuals who collectively have falsely billed the Medicare program for more than $1 billion. In addition, HHS's Centers for Medicare and Medicaid Services, working in conjunction with the HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers.

To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT)
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SOURCE U.S. Department of Justice
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