The former owner of a defunct durable medical equipment (DME) clinic was sentenced to serve 70 months in prison for his role in an $11 million health care fraud scheme involving World Class Medical Clinic Corp. (World Class). In addition to his prison term, the 36 year old man from Miami was sentenced to three years of supervised release and ordered to pay $1,713,959 in restitution. On November 21, 2013, the man pleaded guilty to one count of health care fraud.
During the course of the health care fraud scheme, the defendant served as the president and sole corporate officer of World Class, a defunct DME company located in Miami. From March 27, 2006, through August 22, 2006, he submitted and caused to be submitted approximately $11.3 million in false and fraudulent claims to the Medicare program on behalf of World Class for DME that was neither prescribed by a physician nor medically necessary. Medicare paid more than $1.7 million on these false and fraudulent claims. The proceeds of the World Class fraud scheme were deposited into corporate bank accounts that were controlled by the defendant. He, in turn, made numerous cash withdrawals and deposits into personal and shell entity bank accounts to facilitate and conceal the nature of the scheme.
See the DOJ Announcement