Patient Recruiter Pleads Guilty
Ernesto Espinosa pleaded guilty to one count of conspiracy to commit health care fraud. According to court documents, he and his co-conspirators paid kickbacks to Medicare beneficiaries to recruit them for referral to home health agencies. He also coached the Medicare beneficiaries, who did not need home health services, on what to say to obtain home health prescriptions from doctors. The home health agencies then submitted false and fraudulent claims to Medicare for services that were not medically necessary and typically not even provided. Read a Department of Justice press release.
SMP Resource Center products often contain links to copyrighted material. The SMP Resource Center is providing these links as a convenience and for informational purposes in our efforts to report and educate on Medicare fraud; they do not constitute a guarantee, endorsement, or approval by SMP of any of the information available on the external site. SMP bears no responsibility for the accuracy, legality, or content of the external site or for that of subsequent links. If you have any questions or concerns about the links provided, please contact the SMP Center at firstname.lastname@example.org.