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Billing fraud & false claimsNew in this edition

Orlando clinic CEO and VA employee sentenced for kickbacks steering VA Community Care patients

DOJ's National Fraud Enforcement Division announced on November 5 that Laurent Cassagnol, a VA Community Care Program Advanced Medical Support Assistant, was sentenced to 6 months in prison and Heriberto Rivera, CEO of Family Integrative Medicine of Orlando, LLC, to 13 months, with forfeitures of $175,172 and $515,542. According to the release, Rivera paid Cassagnol to use his VA position to steer veterans to Rivera's clinic, and over $14 million in claims were submitted to the VA, of which over $11 million was paid.

Background

According to court documents described in the release, the two men conspired to pay and receive illegal kickbacks and bribes to direct veterans and their families who were patients of the VA Community Care Program to Rivera's clinic for acupuncture, chiropractic adjustments and other holistic medical services. The investigation began with a complaint to the fraud hotline of the VA Office of the Inspector General.

Who this affects

Providers participating in the VA Community Care Program and staff who interact with VA referral coordinators.

Why it matters

Inference: in this case, payments to a VA employee who steered patients to a clinic were prosecuted as illegal health care kickbacks and bribes; VA Community Care referral relationships need the same controls as other referral sources.

Scope and timing

Authority status
Disposition
Responsible owner
Compliance
Publication date
2026-11-05
Other dates
Sentenced the day of the release ("sentenced today").

Not established

Court and statute of conviction are not named in the release.

Sources

Complete edition and supplemental material

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