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Financial Investigations February 5, 2021 4 mins read

Health Care Fraud: Texas Hospice CEO Gets 15 Years Jail Time; Florida Businesswoman Faces 13 Years Prison Sentence

Financial Investigations ı By Marivic Cabural Summers

677 0 Comments

health care fraud

The CEO of Merida Group, a health care company operating dozens of hospice, nursing homes, and group homes in Texas, was sentenced to 15 years in prison for committing health care fraud and money laundering scheme, according to the U.S. Department of Justice (DOJ).

In Flordia, the Justice Department said a businesswoman pleaded guilty to criminal health care fraud and tax fraud and is facing a maximum penalty of 13 years in federal prison.

Merida Group CEO Henry McInnis supervised a  $154 million health care fraud

In November 2019, Merida Group CEO Henry McInnis was convicted by a federal jury of six counts of health care fraud. The jury also found him guilty of one count each of conspiracy to commit health care fraud, conspiracy to commit money laundering, and obstruction of justice.

Rodney Mesquias, the owner of Merida Group, was also convicted of six counts of health care fraud. He was also found guilty of one count each of conspiracy to commit health care fraud, conspiracy to commit money laundering, conspiracy to pay and receive kickbacks, and obstruction of justice.

The jury convicted Merida Group's medical director Francisco Pena of one count of health care fraud, obstruction of health care investigations,  one count of false statements,  and one count of conspiracy to pay and receive kickbacks.

In December 2020, Mesquias was sentenced to 240 months or 20 years in prison. Pena is awaiting sentencing.

In a statement, the DOJ's Criminal Division Acting Attorney General Nicholas McQuaid, said McInnis directly supervised the "reprehensible criminal scheme" involving the submission of more than $150 million in fraudulent bills, falsification of patients' medical records, and payment of kickbacks."

McQuaid added, “McInnis preyed upon some of the most vulnerable members of our society, including many who suffered from diminished mental capacity and who were falsely and cruelly told by co-conspirators that they had only months to live. Today’s significant sentence demonstrates the department’s continued commitment to pursuing individuals, at all levels of corporate management, who engage in criminal schemes that prioritize profits over patient care.”

On the other hand, FBO San Antonio Field Office Special Agent in Charge Miranda Bennett said, “McInnis and his co-conspirator’s reprehensible and deceitful actions to defraud Medicare weren’t without harm:  vulnerable beneficiaries were unnecessarily enrolled in hospice care, preventing them from accessing needed curative care."

Florida businesswoman Kelly Wolfe pleads guilty, agrees to pay $20.3 million

Meanwhile, Kelly Wolfe, a businesswoman in Largo, Florida, pleaded guilty to conspiracy to commit health care fraud and filing a false tax return. She is facing a maximum penalty of 13 years in federal prison.

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Marivic Cabural Summers
2032 Posts

Marivic Cabural Summers

Marivic has been a freelance writer/journalist for nearly 20 years. She strictly adheres to the ethical standards in journalism. For her, integrity is everything. Readers deserve to know that real story. She previously worked as research analyst and editor at Lombardi Financial and has written for various websites including The Motley Fool, ValueWalk, IcannWiki and was a news writer/radio program producer at Nation Broadcasting Corporation. Marivic holds a BA in Mass Communications.

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