Investigation Leads To Sentence Of Medical Clinic Co-founder

Yesdel Acosta Perez opened bank accounts, rented office place below the guise of clinical clinics to bill insurers for $4.7M in phony products and services

LOUISVILLE, KY – A federal courtroom in Kentucky has sentenced the co-founder of many phony medical clinics in Louisville and Atlanta, who pleaded responsible to just one felony count, after the U.S. Section of Labor found the operators collected $258,000 from 15 self-funded healthcare profit plans for solutions they in no way presented.

The U.S. District Court for the Western District of Kentucky ordered that Yesdel Acosta Perez– co-founder of Romero Rehabilitation Physical Treatment Inc. and Empire Usa Inc. in Louisville as very well as Imaging Group Middle Inc. in Atlanta – to time served of 14 months in prison and pay $258,507 in restitution.

In February 2023, Acosta Perez pleaded guilty to one count of conspiracy to commit healthcare fraud.

The prosecution follows an investigation by the department’s Employee Gains Safety Administration that uncovered that, between May 2015 and January 2016, Acosta Perez and Eduardo Chinea-Martinez co-launched 3 providers to intentionally defraud numerous healthcare advantage packages. Investigators also identified Acosta Perez opened bank accounts for the fictitious companies at JPMorgan Chase Bank, Wells Fargo Lender and Bank of The usa. Before his indictment in June 2018, Acosta Perez fled the U.S. On July 22, 2022, the Italian govt granted the ask for of the U.S. for the extradition of Acosta Perez and surrendered him to U.S. authorities.

Acosta Perez aided Chinea-Martinez and many others in billing many health care gain systems by means of claims directors Humana, CIGNA and United Healthcare for $4.7 million for companies hardly ever offered. They acquired a lot more than $258,000. In March 2020, the courtroom sentenced Chinea-Martinez to 42 months in jail and 3 a long time of supervised launch for his section in the plan.

“Healthcare fraud generates great public distrust, hurts contributors who depend on their vital gains and the employers who deliver their coverage, and improves health care prices for all of us,” discussed Worker Gains Security Administration Regional Director Joe Rivers in Cincinnati. “A federal court has sentenced Yesdel Acosta Perez for intentionally defrauding healthcare advantage courses for particular obtain.”

Businesses and personnel can reach EBSA toll-totally free at 866-444-3272 for aid with problems linked to non-public sector retirement and health designs. Supplemental information and facts can be discovered at http://www.dol.gov/ebsa.