Fort Lauderdal, FL.–A former licensed mental health counselor at the defunct health provider Health Care Solutions Network Inc. (HCSN) pleaded guilty Thursday in Fort Lauderdale, Fla., for his role in a $63 million health care fraud scheme.
According to court records, Busquets was employed as a licensed therapist at HCSN, a mental health facility that purported to provide Partial Hospitalization Program (PHP) services. A PHP is a form of intensive treatment for severe mental illness. HCSN of Florida operated community mental health centers at two locations. Court records indicate that Busquets was aware that HCSN personnel were routinely fabricating patient medical records. Many of these medical records were created weeks or months after the patients were admitted to HCSN for purported PHP treatment and were utilized to support false and fraudulent billing to government sponsored health care benefit programs, including Medicare and Florida Medicaid. During his employment at HCSN Busquets and his co-conspirators signed fabricated PHP therapy notes and other medical records used to support false claims to government-sponsored health care programs.
According to court documents, from 2004 through 2011, HCSN billed Medicare and the Florida Medicaid program approximately $63 million for purported mental health services.
Ruben Busquets, 50, of Miami, pleaded guilty before U.S. District Judge William Zloch in the Southern District of Florida to one count of conspiracy to commit health care fraud. He faces a maximum penalty of 10 years in prison when he is sentenced on Feb. 20, 2014.