Please view the “Medicare healthcare medical billing insurance fraud” video...

Question

Please view the “Medicare healthcare medical billing insurance fraud” video (https://www.youtube.com/watch?v=_aLuK8eqSs0) and use the background readings for this module and conduct your own research to complete this assignment.

1) Conduct a basic legal research and find a case on healthcare billing fraud.
2) Analyze the health care case to determine the existence of criminal and contractual breaches of law.
3) Describe what type of case was it? Ex: Medicare billing fraud, falsification of medical records, etc.

Length: Submit a 3-page paper.

I need 2-3 in-text citations and 2-3 references, APA

David · Accepted Answer

Medicare Healthcare Medical Billing Insurance Fraud 
Submitted by 
Course 
Professor 
Date
Introduction 
Yudel Cayro who was the proprietor as well as the administrator of Courtesy Medical Group 
Inc., which was a therapeutic clinic in Miami, was condemned for 60 months in jail for his part 
in a far reaching Medicare misrepresentation that includes Miami-region health offices. 
Affability worked partially to give pointless solutions, care plans as well as therapeutic 
confirmations, in addition to Miami health wellbeing offices as an end-result of kickbacks as 
well as the bribes. They had given false medicinal archives with the goal that the home wellbeing 
offices could charge the Medicare program for costly home wellbeing administrations and 
treatment purportedly for insulin dependent diabetic Medicare recipients. Indeed, the recipients 
did not require to get the administrations.  
As indicated by court archives, around 344 medicines for these superfluous administrations were 
issued through Courtesy and marked by Cayro's co-respondent, Dr. Fred Dweck. Accordingly, 
Medicare was deceitfully charged roughly $16.6 million for health administrations. They paid 
approximately $10 million of the fake cases. Another proprietor and administrator of Courtesy, 
co-litigant Arturo Fonseca, was condemned in November 2010, by Judge Jordan to 60 months in 
jail and two years of release. (Department of justice, 2010). 
Criminal & Contractual Breach of Law 
Dweck alluded around 1,279 Medicare recipients for costly and superfluous home wellbeing and 
treatment administrations, by bribing the proprietors of two Miami centers to join this fraud. He 
additionally faked therapeutic accreditations. This fraud isn't a victimless offence. It harms each 
American citizen by raising the cost of healthcare. (The Associated Press, 2009).  
Medicinal services extortion is a kind of white collar offence that includes the documenting of 
deceptive healthcare keeping in mind the end goal to make the profit.

Please view the “Medicare healthcare medical billing insurance fraud” video (https://www.youtube.com/watch?v=_aLuK8eqSs0) and use the background readings for this module and conduct your own research...

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