Patient Recruiter Pleads Guilty in $6.5 Million Miami Home Health Scheme
A patient recruiter has pleaded guilty for her participation in a home health fraud scheme in Miami that bilked the government out of $6.5 million.
The recruiter, Euridice Borroto, who worked with now-defunct Nestor’s Health Services Inc. in Miami, Florida, is pleading guilty to charges of conspiracy to solicit and receive health care kickbacks and to defraud the United States, according to the Department of Justice.
According to court documents, Borroto solicited and received kickbacks from the owner and operator of the home health agency, purporting to provide home health services to Medicare beneficiaries when those services were either not medically necessary or were not provided.
Under the scheme, Borroto would fraudulently bill Medicare for the services on behalf of the recruited patients, resulting in criminal charges. The DOJ indicates Borroto knowingly recruited patients whom did not qualify for Medicare.
From March 2009 to January 2014, Nestor Health Services submitted more than $6.5 million in claims for home health services; $6.1 million of which were paid to the company.
According to court documents Borroto acknowledged her participation in other Miami health care schemes involving other agencies.
Sentencing is scheduled for Aug. 25, 2014.
Written by Elizabeth Ecker