Another health­care worker sentenced in fraud case

Modern Healthcare - - REGIONAL NEWS - —Lisa Schencker

Yet another health­care worker has been sentenced in con­nec­tion with a $200 mil­lion fraud scheme the fed­eral gov­ern­ment has called one of the largest in U.S. his­tory.

Li­censed nurs­ing as­sis­tant Rodolfo San­taya was sentenced in Mi­ami to 150 months in prison and or­dered to pay more than $18.2 mil­lion in resti­tu­tion in con­nec­tion with a Mi­ami men­tal health company ac­cused of fraud­u­lently billing Medi­care, ac­cord­ing to the Jus­tice Depart­ment.

A fed­eral jury in July con­victed San­taya of con­spir­acy to com­mit health­care fraud and wire fraud, con­spir­acy to pay and re­ceive bribes and kick­backs and two counts of re­ceipt of bribes and kick­backs in con­nec­tion with a fed­eral health­care pro­gram.

San­taya’s lawyer de­clined to com­ment, say­ing only that San­taya plans to ap­peal. More than 20 in­di­vid­u­als al­ready have pleaded guilty or been con­victed at trial in con­nec­tion with al­legedly fraud­u­lent billings by Mi­ami men­tal health company Amer­i­can Ther­a­peu­tic Corp., which op­er­ated par­tial-hos­pi­tal­iza­tion pro­grams to treat se­vere men­tal ill­ness in seven lo­ca­tions.

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