Unmasking the Deception: Woman Pleads Guilty in Multi-Million Dollar Medicaid Fraud

In a pivotal moment for healthcare justice, Margarita Rebollal, a Las Vegas woman at the helm of a home health care agency, has formally confessed her culpability in a sprawling multi-million dollar Medicaid fraud and tax evasion conspiracy.

Appearing before U.S. District Judge Richard F. Boulware II, Rebollal entered a guilty plea to charges including one count of conspiracy to commit health care fraud and one count of conspiring to defraud the United States.

As part of her plea agreement, she has consented to forfeit a staggering $4.5 million, comprising $3.4 million in restitution to Medicaid and an additional $1.1 million to the IRS.

The elaborate scheme involved Rebollal, as the owner and operator of Amedisys Health Services, systematically submitting fraudulent claims for services that were either never rendered, not medically necessary, or provided under false pretenses.

These claims often hinged on falsified medical records, creating the illusion of legitimate patient care when, in reality, it was a calculated deception designed to siphon funds from the taxpayer-funded program.

Beyond the direct healthcare fraud, Rebollal also admitted to orchestrating a sophisticated tax evasion plot.

From 2013 to 2019, she deliberately concealed the substantial illicit profits garnered from her fraudulent healthcare operations, failing to report this income to the IRS and thereby evading her lawful tax obligations. This dual layer of deception underscores the audacious nature of her criminal enterprise.

With her plea, Rebollal now faces the grim reality of a maximum sentence of 10 years in federal prison.

Her sentencing hearing is scheduled for November 14, where Judge Boulware will determine the final penalty for her actions. This case serves as a stark reminder of the rigorous efforts by federal authorities to prosecute individuals who exploit vital social programs for personal gain.

The successful prosecution of this case exemplifies the unwavering commitment of law enforcement agencies, including the FBI, HHS-OIG, and IRS Criminal Investigation, to dismantle complex fraud schemes and safeguard taxpayer dollars intended for legitimate patient care.

It sends a clear message that those who attempt to defraud the healthcare system will be held accountable.