Seven Miami residents were arrested for their alleged roles in a scheme that fraudulently billed Medicare and Florida Medicaid for $63
million, the U.S. Department of Justice said.
Roger Rousseau, the 71-year-old former medical director of the now
defunct health care provider Health Care Solutions Network, was indicted on July 11 and charged with
conspiring to commit health care fraud and two counts of health care fraud, the department said in an email statement.
In the indictment, six
therapists – Doris Crabtree, 61, Angela Salafia, 65, Liliana Marks, 46, Ruben Busquets, 49,
Alina Fonts, 47, and Blanca Ruis, 59 – were also charged with conspiracy to commit heath care
fraud, the Department of Justice said.
Fonts was charged with two counts of health care fraud, and Crabtree, Salafia, Marks and Busquets were each
charged with two counts of making false statements related to heath care matters.
It wasn’t immediately
known if they had attorneys. The indictment also seeks forfeiture proceeds from the alleged
offenses, the department said.
In February, Health Care Solutions Network’s owner, Armando
“Manny” Gonzalez, was sentenced to 14 years in prison for Medicare fraud charges. Gonzalez was arrested last year with dozens
of others involved in his company, the Miami Herald reported. Almost all of them have
The indictment states that from 2004 to 2011 Health Care Solutions Network claimed to
provide mental health treatment to Medicare and Medicaid beneficiaries for mental health services that
were not necessary and often not provided, the department said.
Also, assisted living facility owners and
operators who referred people to the network were allegedly paid kickbacks, according to the
In this case, the indictment
alleges that Rousseau signed what he knew was fabricated and changed medical records without
reviewing the materials and sometimes without meeting the patient. The indictment also alleges that
Crabtree, Salafia, Marks, Busquets, Fonts and Ruiz fabricated medical records to support false
claims for partial hospitalization program services that were never provided and weren’t
medically necessary, the department said.
This case is being investigated by the FBI and the U.S. Department of
Health and Human Services Office of Inspector General, and it is part of the Medicare Fraud Strike Force. Since starting in 2007, the strike
force has charged about 1,500 defendants who have collectively billed the Medicare program for about $5 billion.
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