Feds Bust Healthcare Facility in Skokie For Medicare Fraud

The owners of Rosner Home Healthcare in Skokie are facing federal charges after allegedly paying and receiving cash kickbacks in exchange for Medicare referral patients. Since 2008, the business has made more than $13 million, authorities said.

Two owners of Skokie based Rosner Healthcare Agency, 4101 Main St., are facing federal charges after allegedly paying and receiving cash kickbacks in exchange for Medicare referral patients, federal law enforcement officials said on Tuesday. Also involved in the alleged scheme were two physicians who did business with Rosner.

All in all, federal officials charged nine people who they believe were part of the scheme.

Ana Nerissa Tolentino, 43, of Morton Grove and a registered nurse, and Frederick Magisno, 59, also of Morton Grove, were both co owners of Rosner Home Healthcare. Also charged was Edgardo Hernal, a former Rosner employee who allegedly conspired to pay kickbacks to physicians in exchange for referrals of Medicare patients that enabled Rosner to bill Medicare, authorities said.

According to the previously filed complaints, Medicare paid Rosner approximately $13 million for claims submitted for home health services between Jan. 2008 and Jan. 2012.  Neither the complaints nor indictment allege how much of Rosner’s total Medicare billings were fraudulent, authorities said.

According to the indictment, between Jan. 2008 and July 2012, Tolentino, Magsino, and Hernal conspired with others to pay kickbacks and bribes to doctors. The amount of kickbacks varied but generally ranged from $300 to $600 for each new patient’s completion of five home health visits in one cycle, and ranged between the same amounts for the repeat admission of a previous patient in a new cycle of home health care, federal officials said.  

All nine defendants will be arraigned in U.S. District Court on dates to be determined.

AC September 29, 2012 at 08:54 PM
Home Health Agency is charged for Medicare Freud. How about the doctors taking kickbacks?
Glenn Posner September 29, 2012 at 09:21 PM
AC ... Freud was a psychologist. You mean of course, fraud. This is an example of things going RIGHT and weeding out fraud. The more things like this are detected and publicized, the more reluctant providers (and many times patients themselves) will be to get involved in doing something they know is wrong. The stiffer the sentence the better, as a deterrent, hopefully. Fraud is one significant way to attack Medicare waste. Another is to reduce monthly advances to providers of MA (Medicare "Advantage") Plans (formerly Medicare + Choice..Share HMO etc etc)... Last year the government paid providers of these managed care plans over $9 Billion Dollars more, than if those same enrollees simply had medicare and a supplement or medicare and medicaid if indigent. Doctors taking kickbacks is nothing new. They have been losing their licenses and doing jail time since Medicare began. What is new is with the technology available, these offenders are more likely to get caught. Never a dull moment as the debates begin next week. Rest assured Medicare will be brought up.


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