The Medicare Fraud Strike Force, along with other federal authorities, is focusing increased attention on HIV infusion therapy clinics in Florida and throughout the country. Authorities often allege that infusion therapy clinics charge Medicare for either unnecessary treatments or care that they did not actually provide to HIV patients.
A married couple pled guilty last week to charges that they conspired to commit Medicare fraud together at their two businesses. Their businesses, two HIV infusion therapy clinics, allegedly submitted fraudulent bills to Medicare for millions of dollars.
The government claimed that the couple used its clinics to pretend to provide HIV/AIDS treatments. Infusion therapy usually provides expensive anti-retroviral drugs to combat AIDS symptoms. In this case, the government said that the clinics did not actually provide infusions but merely billed Medicare for the costs of the therapy. Authorities even alleged that the wife in this case injected patients with vitamins to support the illusion that the clinic offered legitimate services.
Throughout the course of their operations, the couple apparently billed Medicare for $13.4 million and received $5.9 million in payments. Now that they have pled guilty to the charges, the couple could face as much as 10 years in a federal prison if they receive the maximum penalties.
Federal authorities are very serious about infusion therapy clinics and usually bring charges after thoroughly researching a defendant’s business.
Source: CBS Detroit, “Troy Couple Plead Guilty In $13.4M Medicare Fraud,” Oct. 18, 2012