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Monday, October 25, 2010

Massive healthcare fraud scheme uncovered in Miami

MIAMI (Reuters) - The top two officials of a leading chain of community mental health centers were among four people arrested in Miami on Thursday in connection with a scheme involving about $200 million in fraudulent medical claims, U.S. prosecutors said.

The four conspired to charge Medicare, the federal health insurance plan for the elderly and disabled, for mental health services that were either unnecessary or never provided to patients, according to the U.S. Attorney's Office for the Southern District of Florida.

The arrested were: Lawrence Duran, owner of American Therapeutic Corp; Marianella Valera, chief executive officer of the company; and two other senior employees of American Therapeutic. The company is among the nation's largest chain of community mental health centers licensed by Medicare.

They were charged in a 13-count indictment with conspiracy to defraud the United States and to receive healthcare kickbacks and to pay healthcare kickbacks.

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