Two Individuals Convicted of Defrauding Medicaid at a Doral Clinic Providing Psychosocial Rehabilitation Services
Outcome
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Details
Two Individuals Convicted of Defrauding Medicaid at a Doral Clinic Providing Psychosocial Rehabilitation Services — Criminal
Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.
Official websites use .gov A .gov website belongs to an official government organization in the United States.
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Miami, Florida – Two South Florida residents have pleaded guilty to running a mental health care fraud scheme that over-billed Medicaid for hundreds of thousands of dollars. During the change of plea hearing in federal court in Fort Lauderdale, Florida, Lorena Osella, 44, of Ft. Lauderdale, Florida, pleaded guilty to one count of conspiracy to commit health care fraud, and Juan Luis Matos, 59, of Miami, Florida, pleaded guilty to one count of conspiracy to defraud the United States and to pay health care kickbacks.
HHS Office of Inspector General
How Crucible Prevents This
Crucible's referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.
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