|Charges||Conspiracy to commit Health care fraud|
|Amount of Arrears||$918,402|
On June 13, 2016, HHS OIG Most Wanted Fugitive Ubert Guillermo Rodriguez was sentenced to 37 months in prison and ordered to pay $918,402 in restitution and to forfeit the same amount for his guilty plea to conspiracy to commit health care fraud.
On October 9, 2015, Guillermo Rodriguez was apprehended at Miami International Airport. Rodriguez was indicted in July 2013 on 14 counts of health care fraud. Investigators believe that Rodriguez submitted more than $2.5 million in false claims to Medicare for durable medical equipment (DME) that was never provided or was medically unnecessary.
Rodriguez was the president, director, and registered agent of G.R. Services Equipment & Supplies, Inc., a company based in Florida that purportedly provided DME to Medicare beneficiaries. Rodriguez submitted claims to Medicare, fraudulently representing that the DME items and services were prescribed by a doctor and were provided to Medicare beneficiaries when, in fact, they were not. The DME items included collagen dressings, sterile packs, negative pressure wound therapy pumps, gauze, and catheters.
Investigators interviewed the top referring physicians who supposedly wrote prescriptions for the DME and verified that no referrals to G.R. Services were actually made by these physicians. Investigators also interviewed beneficiaries, who confirmed that they never received any DME from G.R. Services.
As a result of the false claims, Rodriguez received $918,402 in Medicare reimbursement. Rodriguez fled to Cuba and remained a fugitive at large until his recent capture. He is currently in custody and will face charges stemming from his indictment.
- Health Care Fraud