Miami doctor, 6 therapists charged in $63M fraud

Health Care Fraud
Posted at 5:44 AM, Jul 17, 2013
and last updated 2013-07-17 01:52:52-04

MIAMI (AP) — A Miami doctor and six therapists have been charged with health care fraud that allegedly sought to bilk Medicare and Medicaid out of $63 million.

Federal prosecutors said Tuesday that 71-year-old Dr. Roger Rousseau routinely signed faked or altered medical records at now-defunct Health Care Solutions Network, which claimed to provide mental health services. Prosecutors also say the company paid kickbacks to assisted living operators who provided patients for services that either weren't necessary or not provided.

The therapists are also accused of fabricating medical records to support unnecessary or phantom Medicare and Medicaid claims. Out of the $63 million in claims, authorities say the company received about $28 million from 2004 to 2011.

Rousseau attorney Sam Rabin says his client is not guilty and wants a trial.