Durable Medical Equipment Company Owner Convicted in Medicare Fraud Scheme
Published: 2009-09-12 16:20:57
Author: United States Attorney’s Office | August 18, 2009
(Media-Newswire.com) - Jeffrey H. Sloman, Acting United States Attorney for the Southern District of Florida, Michael J. Folmar, Acting Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, announced that defendant Adonis Ortiz, of Miami, was found guilty on Thursday, August 13, 2009, of health care fraud and conspiracy to commit health care fraud, in violation of United States Code, Sections 1347 and 1349, respectively. Sentencing is scheduled before U.S. District Court Judge Adalberto Jordan on October 30, 2009. Defendant Ortiz faces a maximum term of imprisonment of forty years.
According to the Indictment and evidence admitted at trial, defendant Ortiz controlled and operated Daky Medical Supply, Corp. (“Daky Medical”), located in Miami, FL. Daky Medical purportedly provided durable medical equipment to Medicare beneficiaries. From April 2003 through March 2004, Ortiz was the President, Vice President, Secretary, Treasurer, and Registered Agent of Daky Medical, and caused the submission of $6,180,030 in false claims to Medicare for DME items and services that were not prescribed by doctors or provided as claimed. For example, seven doctors whose names appeared on various prescriptions and billing records submitted to Medicare testified that they had not provided or signed the prescriptions. In addition, many of the fraudulent claims submitted by Daky Medical involved persons who had died before the date of the alleged service.
Evidence admitted at trial also revealed defendant Ortiz’s ownership role in a second durable medical equipment company, Reny Medical Equipment & Supply Inc. (“Reny Medical”), also located in Miami. From February 2004 through July 2004, defendant Ortiz caused Reny to submit approximately $6,944,980 in fraudulent claims to Medicare for DME items and services that were not prescribed by doctors or provided as claimed. Medicare paid Reny Medical approximately $2,796,316 on these claims.
Mr. Sloman commended the investigative efforts of the Federal Bureau of Investigation, and the U.S. Department of Health and Human Services, Office of Inspector General. This case is being prosecuted by Assistant United States Attorney Christopher J. Clark.
A copy of this press release may be found on the website of the United States Attorney’s Office for the Southern District of Florida at www.usdoj.gov/usao/fls. Related court documents and information may be found on the website of the United States District Court for the Southern District of Florida at www.flsd.uscourts.gov or http://pacer.flsd.uscourts.gov.
Media Newswire
Published: 2009-09-12 16:20:57
Author: United States Attorney’s Office | August 18, 2009
(Media-Newswire.com) - Jeffrey H. Sloman, Acting United States Attorney for the Southern District of Florida, Michael J. Folmar, Acting Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office, and Christopher B. Dennis, Special Agent in Charge, U.S. Department of Health and Human Services, Office of Inspector General, announced that defendant Adonis Ortiz, of Miami, was found guilty on Thursday, August 13, 2009, of health care fraud and conspiracy to commit health care fraud, in violation of United States Code, Sections 1347 and 1349, respectively. Sentencing is scheduled before U.S. District Court Judge Adalberto Jordan on October 30, 2009. Defendant Ortiz faces a maximum term of imprisonment of forty years.
According to the Indictment and evidence admitted at trial, defendant Ortiz controlled and operated Daky Medical Supply, Corp. (“Daky Medical”), located in Miami, FL. Daky Medical purportedly provided durable medical equipment to Medicare beneficiaries. From April 2003 through March 2004, Ortiz was the President, Vice President, Secretary, Treasurer, and Registered Agent of Daky Medical, and caused the submission of $6,180,030 in false claims to Medicare for DME items and services that were not prescribed by doctors or provided as claimed. For example, seven doctors whose names appeared on various prescriptions and billing records submitted to Medicare testified that they had not provided or signed the prescriptions. In addition, many of the fraudulent claims submitted by Daky Medical involved persons who had died before the date of the alleged service.
Evidence admitted at trial also revealed defendant Ortiz’s ownership role in a second durable medical equipment company, Reny Medical Equipment & Supply Inc. (“Reny Medical”), also located in Miami. From February 2004 through July 2004, defendant Ortiz caused Reny to submit approximately $6,944,980 in fraudulent claims to Medicare for DME items and services that were not prescribed by doctors or provided as claimed. Medicare paid Reny Medical approximately $2,796,316 on these claims.
Mr. Sloman commended the investigative efforts of the Federal Bureau of Investigation, and the U.S. Department of Health and Human Services, Office of Inspector General. This case is being prosecuted by Assistant United States Attorney Christopher J. Clark.
A copy of this press release may be found on the website of the United States Attorney’s Office for the Southern District of Florida at www.usdoj.gov/usao/fls. Related court documents and information may be found on the website of the United States District Court for the Southern District of Florida at www.flsd.uscourts.gov or http://pacer.flsd.uscourts.gov.
Media Newswire