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How Medicare scammers defrauded Miami-Dade courts

A ring of Medicare fraudsters used Miami-Dade courts for years to execute a $63 million health insurance scam by coordinating with criminal defendants, helping them avoid incarceration by securing court orders for mental health treatment.

By Samantha Joseph | Updated on November 29, 2017
Greater Miami Behavioral Healthcare billed Medicare millions under a partial hospitalization program that pays for beneficiaries’ outpatient psychiatric services, despite knowing the patients sometimes didn’t need mental health care or qualify for the benefit. (Image: Shutterstock)

A ring of Medicare fraudsters used Miami-Dade courts for years to execute a $63 million health insurance scam, according to information from the U.S. Department of Justice.

The group coordinated with criminal defendants in the Miami-Dade state court system, helping them avoid incarceration by securing court orders for mental health treatment, according to documents filed in federal court. It then referred the defendants to Greater Miami Behavioral Healthcare Center Inc., a community mental health center that has since shuttered.

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