{"id":57985,"date":"2024-12-07T17:51:58","date_gmt":"2024-12-08T01:51:58","guid":{"rendered":"https:\/\/cjnotebook.com\/?p=57985"},"modified":"2024-12-07T17:53:21","modified_gmt":"2024-12-08T01:53:21","slug":"telemarketer-sentenced-for-67-million-health-care-fraud-and-money-laundering-scheme","status":"publish","type":"post","link":"https:\/\/cjnotebook.com\/?p=57985","title":{"rendered":"Telemarketer Sentenced to 15 Years in Prison for $67 Million Health Care Fraud Scheme"},"content":{"rendered":"<div class=\"node-body\">\n<div class=\"field-formatter--text-default field-text-format--wysiwyg text-formatted field_body\">\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5414 alignleft\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/08\/U.S.-Department-of-Homeland-Security-300x184.jpg\" alt=\"\" width=\"368\" height=\"226\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/08\/U.S.-Department-of-Homeland-Security-300x184.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2014\/08\/U.S.-Department-of-Homeland-Security.jpg 584w\" sizes=\"auto, (max-width: 368px) 100vw, 368px\" \/>A Florida man was sentenced Friday to 15 years in prison for his role in a wide-ranging conspiracy to defraud Medicare by billing over $67 million for medically unnecessary genetic testing, officials stated.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Jose Goyos, 38, of West Palm Beach, worked at a call center involved in fraudulent telemarketing targeting Medicare beneficiaries and their doctors, according to court documents and trial evidence.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Goyos oversaw the \u201cdoctor chase\u201d division, which contacted primary care physicians to deceive them into ordering unnecessary genetic tests based on fabricated paperwork created by the call center.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">He instructed employees to falsely claim that the Medicare beneficiaries were \u201cmutual patients\u201d who had requested the tests and had medical conditions warranting them\u2014neither of which was true.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-14844 alignright\" src=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/08\/FBI-Logo-300x225.jpg\" alt=\"La Cosa Nostra Convicted Felon Admits to Drug, Prostitution and Weapons Charges\" width=\"336\" height=\"252\" srcset=\"https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/08\/FBI-Logo-300x225.jpg 300w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/08\/FBI-Logo-45x35.jpg 45w, https:\/\/cjnotebook.com\/wp-content\/uploads\/2015\/08\/FBI-Logo.jpg 640w\" sizes=\"auto, (max-width: 336px) 100vw, 336px\" \/>Goyos and his accomplices used fraudulent doctor orders to bill Medicare for costly, unnecessary genetic tests. The test results were often not shared with beneficiaries\u2019 primary care physicians or used in their treatment.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Between May 2020 and July 2021, they submitted over $67 million in false claims to Medicare, receiving more than $53 million in payments.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">In October 2023, a jury found Goyos guilty of conspiracy to commit wire fraud and money laundering.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Nine additional Florida residents were previously sentenced for their roles in the conspiracy:<\/span><\/p>\n<ul>\n<li><span style=\"font-size: 20px;\">Daniel M. Carver, 38, of Boca Raton, was sentenced to 16 years and eight months in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Thomas Dougherty, 42, of Palm Beach, was sentenced to 14 years in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">John Paul Gosney Jr., 42, of Parkland, was sentenced to seven years and 11 months in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Galina Rozenberg, 42, of Hollywood, was sentenced to four years in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Michael Rozenberg, 61, of Hollywood, was sentenced to four years in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Ethan Macier, 25, of Boynton Beach, was sentenced to three years and nine months in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Louis \u201cGino\u201d Carver, 33, of Boca Raton, was sentenced to two years and eight months in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Ashley Cigarroa, 32, of North Lauderdale, was sentenced to two years and six months in prison.<\/span><\/li>\n<li><span style=\"font-size: 20px;\">Timothy Richardson, 31, of Lantana, was sentenced to two years in prison.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">The FBI and Health and Human Services-Office of the Inspector General investigated the case.<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 20px;\">Trial Attorneys Reginald Cuyler Jr. and Andrew Tamayo, along with former Trial Attorney Patrick J. Queenan, of the Criminal Division\u2019s Fraud Section prosecuted the case.<\/span><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A Florida man was sentenced Friday to 15 years in prison for his role in a wide-ranging conspiracy to defraud Medicare by billing over $67 million for medically unnecessary genetic testing, officials&#8230;<\/p>\n","protected":false},"author":1,"featured_media":56038,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-57985","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Telemarketer Sentenced to 15 Years in Prison for $67 Million Health Care Fraud Scheme<\/title>\n<meta name=\"description\" content=\"A Florida man was 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