佛州诊所负责人与退伍军人事务部雇员因医疗回扣被判刑:涉案索赔逾1,400万美元

美国司法部11月5日宣布,两名佛罗里达州男子因合谋支付和收受非法医疗回扣被判刑:诊所负责人 Heriberto Rivera 被判13个月监禁,退伍军人事务部(VA)雇员 Laurent Cassagnol 被判6个月监禁;两人还分别被判没收515,542美元和175,172美元违法所得。
根据法庭文件,两人均为43岁、住在佛罗里达州 Orlando。Rivera 是 Orlando 家庭综合医疗公司(Family Integrative Medicine of Orlando, FIMO)的首席执行官,该诊所提供针灸、脊椎调整等整体医疗服务;Cassagnol 是 VA 社区护理计划(VACCP)的高级医疗支持助理。Rivera 向 Cassagnol 支付回扣与贿赂,换取其利用职务之便把 VA 患者转介到 FIMO 就诊。
司法部称,这一回扣安排共产生逾1,400万美元的欺诈性索赔,其中逾1,100万美元已被支付。案件源于有人向 VA 监察长办公室(VA-OIG)欺诈热线投诉,由联邦调查局(FBI)与 VA-OIG 联合调查。
(来源:美国司法部)
Florida Clinic CEO and VA Employee Sentenced in Health Care Kickback Scheme Involving Over $14 Million in Claims
The U.S. Department of Justice announced on November 5 that two Florida men were sentenced for their roles in a conspiracy to pay and receive illegal health care kickbacks: clinic CEO Heriberto Rivera was sentenced to 13 months in prison, and VA employee Laurent Cassagnol was sentenced to 6 months in prison. Rivera was ordered to forfeit $515,542 and Cassagnol $175,172, representing the proceeds of the offense.
According to court documents, both men are 43 and live in Orlando, Florida. Rivera is the CEO of Family Integrative Medicine of Orlando, LLC (FIMO), which provides acupuncture, chiropractic adjustments and other holistic medical services. Cassagnol was an Advanced Medical Support Assistant for the VA Community Care Program (VACCP). Rivera paid kickbacks and bribes to Cassagnol in exchange for Cassagnol using his VA position to steer VA patients to FIMO.
As a result of the kickbacks, over $14 million in fraudulent claims were submitted to the VA and VACCP, of which over $11 million was paid. The case began with a complaint to the VA Office of Inspector General fraud hotline and was investigated by the FBI and VA-OIG.
(Source: U.S. Department of Justice)
来源:美国司法部
发布:GSM·美国(发布链接)
图片来源:图:位于华盛顿的美国司法部总部大楼(GSM 联邦固定图库)。 / Photo: U.S. Department of Justice headquarters in Washington (GSM federal fixed library).
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