US: Three More Charged in $23 Million Medicare Fraud

Published: 15 October 2014

By

Three Florida men were charged with conspiring to pay and receive kickbacks and money laundering relating to a 2012 case against Jose Carlos Morales. According to the FBI, the men provided Morales with Medicare beneficiary information, which he then used to submit more than US$ 23 million in fraudulent claims.

 

This case is part of an ongoing investigation by the Medicare Fraud Strike Force, which since 2007 has charged almost 2,000 people with fraudulently billing Medicare for more than US$ 6 billion.

Morales, the 57-year-old co-owner of Pharmovisa Inc. and Pharmovisa Limited, received a 14-year jail sentence for Medicare fraud in 2013.

On Oct. 9, the Federal Court indicted Guillermo Delgado, 45; his brother Gabriel Delgado, 42; and Emerson Carmona, 43, for allegedly providing Morales with the beneficiary information between 2006 and 2012. The Delgados had allegedly been disguising the acquired kickbacks as legitimate payments for services by shell companies they controlled.

According to the indictment, Guillermo Delgado and Carmona delivered fraudulent prescriptions for oxycodone, oxymorphone and other prescription drugs to Morales’s pharmacies, which would fill the prescriptions and then bill Medicare for the drugs. The men would then distribute the drugs through co-conspirators, as reported by the South Florida Business Journal.