Coral Springs woman charged in $58 million Medicare fraud case involving alleged scheme tied to medically unnecessary orthotic braces and billing companies
Coral Springs, Florida – A Coral Springs woman has been indicted in federal court for her alleged involvement in a large-scale Medicare fraud scheme that prosecutors say generated more than $58 million in false claims tied to medically unnecessary orthotic braces.
Federal authorities announced Thursday that 55-year-old Laura Seiler-Anstett has been charged with conspiracy to commit health care fraud and wire fraud, along with four counts of health care fraud. The charges were filed following a federal indictment in Miami and announced by the U.S. Attorney’s Office for the Southern District of Florida.
Prosecutors describe Seiler-Anstett as a biller and consultant who operated companies that submitted Medicare claims on behalf of durable medical equipment suppliers. Court records identify her as the listed owner of MedAct Billers, LLC and Intelibill Professional Services LLC, both billing companies based in Margate.
The case is part of a broader national crackdown announced as the Department of Justice’s 2026 National Health Care Fraud Takedown. That coordinated enforcement effort resulted in charges against 455 defendants across the United States, involving alleged schemes tied to more than $6.5 billion in fraudulent claims. In South Florida alone, prosecutors said 12 defendants were charged in cases involving more than $4 billion in alleged fraud.
According to the indictment, Seiler-Anstett’s case centers on durable medical equipment, commonly referred to as DME. Prosecutors allege that between August 2018 and June 2022, she and co-conspirators caused more than $58.3 million in false and fraudulent Medicare claims to be submitted for orthotic braces that were not medically necessary, not eligible for reimbursement, or were obtained through illegal kickbacks and bribes. Medicare reportedly paid about $30 million on those claims.
Investigators further allege that Seiler-Anstett played a key role in helping DME companies enroll in Medicare while concealing the true ownership and management structures behind the businesses. By doing so, prosecutors say the arrangement allowed claims to be distributed across multiple companies, making billing activity appear smaller and less suspicious to regulators.
Federal officials also claim she advised operators on how to structure both their companies and billing practices in ways designed to avoid detection. According to the indictment, this included spreading claims across different entities and steering clear of states where Medicare audits were more frequent or more aggressively enforced.
The alleged fraud scheme also relied on questionable medical documentation. Prosecutors say many of the claims were supported by orders generated through telemedicine providers who did not have treating relationships with patients and did not physically examine beneficiaries. In some cases, the indictment describes a so-called “doctor chase” tactic, in which medical orders were allegedly faxed to treating physicians in an attempt to obtain signatures after the fact.
Authorities allege that Seiler-Anstett was compensated for her role in the scheme by receiving a percentage of Medicare reimbursements paid to the involved DME companies and suppliers. Her total alleged earnings from the operation were approximately $1.8 million.
The case is one of many included in the broader federal takedown targeting health care fraud schemes across the country. Prosecutors say the coordinated effort highlights ongoing concerns about billing abuse in the Medicare system, particularly involving durable medical equipment and telemedicine-related services.
If convicted, Seiler-Anstett faces serious federal penalties tied to conspiracy and health care fraud charges. The investigation remains part of a wider effort by federal authorities to identify and dismantle fraudulent billing networks operating within the health care industry.
