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News - NEWS - MIAMI GARDENS MAN CONVICTED OF MEDICARE FRAUD
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Source: South Florida Business Journal
Date Added: 26/07/2010

Miami Gardens man convicted of Medicare fraud

South Florida Business Journal

Raul S. Ramirez, 55, will be sentenced Oct. 13 for his role in a Medicare fraud scheme that bilked the program out of $7 million.

The Miami Gardens man was convicted Wednesday of one count of conspiracy to commit health care fraud, 12 counts of health care fraud and three counts of money laundering.

According to the evidence presented at trial, the fraud involved the supposed treatment of HIV- positive Medicare beneficiaries at RA Medical Center on West Flagler Street in Miami. Ramirez paid Medicare beneficiaries to sign papers as though they had received treatment and allow their Medicare numbers to be used to bill Medicare, according to evidence.

Ramirez falsified medical records and blood test results and hired a billing company to bill Medicare under the name of a deceased doctor.

Prior to his criminal trial, about $4.9 million was recovered in a civil forfeiture case. In addition to jail time, he will be ordered to turn over an additional $960,688.54.

Ramirez faces up to 10 years in prison on each of the 16 counts.

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