A federal jury in Miami has convicted Elizabeth Hernandez, a Florida nurse practitioner, on a number of fees associated to her pivotal function in a large scheme that bilked over $200 million from Medicare.
Hernandez, 45, was discovered responsible after an in depth trial that spanned a number of days.
False billing uncovered
Hernandez’s conviction hinges on fraudulent billing practices, as revealed by the Division of Justice.
Studies are that she systematically submitted claims to Medicare for orthotic braces and genetic exams that had been deemed medically pointless.
A disturbing statistic
The Division of Justice disclosed a startling statistic, stating that within the yr 2020, Hernandez outstripped all different suppliers within the nation, together with oncologists and geneticists, in ordering most cancers genetic exams for Medicare beneficiaries.
The scheme unveiled
Based on reviews, Hernandez’s involvement on this far-reaching conspiracy was multifaceted. Telemarketing firms, appearing as collaborators within the operation, focused Medicare sufferers to steer them to request pointless braces and exams.
These firms then dispatched pre-filled orders to Hernandez, who signed them, asserting that she had examined or handled the sufferers.
In lots of situations, she had by no means even spoken to those sufferers. The DOJ alleges that Hernandez routinely billed Medicare for over 24 hours of purported “workplace visits” in a single day.
Lavish private beneficial properties
Other than her energetic function within the scheme, Hernandez personally profited from the rip-off, pocketing an astounding $1.6 million in ill-gotten beneficial properties. She utilized this cash to accumulate extravagant vehicles, and jewellery, embark on residence renovation tasks, and take pleasure in luxurious holidays.
Co-conspirator sentenced
Considered one of Hernandez’s co-conspirators, Michael Stein, took a distinct path and pleaded responsible in April to defrauding america by taking part in bribery and kickback schemes.
Stein, who ran two firms, 1523 Holdings, and Growthlogix, obtained a five-year jail sentence in June for orchestrating medically pointless genetic exams.
Upcoming sentencing
Hernandez is slated to obtain her sentence on December 14th.
She faces a most potential sentence of 20 years in jail on the highest rely of conspiracy to commit well being care fraud, with lesser most sentences for well being care fraud and making false statements.
