Posts Tagged ‘Dearborm’
Daylife/AP Photo used by permission
Two sisters wanted in a $9.1-million Medicare fraud investigation into their Dearborn clinic have been arrested in South America and will be returned to Detroit to face charges…
Clara Guilarte, 56, and Caridad Guilarte, 54, missing since February 2007, were on a federal most-wanted list for Medicare fraud. They were apprehended Sunday as they tried to get on a plane in Colombia, said Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services.
Tom Spokaeski, an investigator with the federal fraud task force in Detroit, said the sisters were arrested after tipsters called a national Medicare fraud hotline.
They are charged with committing fraud at the Dearborn Medical and Rehabilitation Center, a drug infusion clinic they opened that served people with AIDS and HIV, hepatitis C and other chronic conditions…
Clara and Caridad Guilarte, who had been involved in questionable clinic activities in Miami, came to Detroit in 2005 to flee the heightened federal scrutiny there, federal court records show.
They filled out a simple form to establish a Michigan corporation — paperwork that essentially requires little beyond the name of the registered agent for the company — found a doctor who was certified to bill Medicare and opened the Dearborn Medical and Rehabilitation Center.
Like the ones the sisters were associated with in Miami, the Dearborn facility was a drug infusion clinic for people with AIDS, hepatitis C and other health conditions. They are charged with $9.1 million in fraudulent Medicare billings.
HHS is ramping up internal methods – also available to states and regional bodies – to spot and track suspicious billing patterns. IMHO, one of the best tools to rely upon is nosy old farts like me who just might spot a fraud in progress. That’s what happened in this case.
To report questionable billings, call 800-633-4227; to report fraud, call 800-447-8477.