Coral Springs Police {Aiden Palmer}
A Coral Springs woman was indicted in federal court for her alleged role in a $58.3 million Medicare fraud scheme built around medically unnecessary orthotic braces, federal prosecutors announced Thursday.
Laura Seiler-Anstett, 55, was charged with conspiracy to commit health care fraud and wire fraud, along with four counts of health care fraud, according to the U.S. Attorney’s Office for the Southern District of Florida and a federal indictment filed in Miami.
Prosecutors said Seiler-Anstett worked as a biller and consultant whose companies submitted Medicare claims on behalf of durable medical equipment suppliers. The indictment identifies her as the listed owner of MedAct Billers, LLC, and Intelibill Professional Services LLC, both Margate-based billing companies.
The case was announced as part of the Department of Justice’s 2026 National Health Care Fraud Takedown, a sweeping enforcement action that resulted in charges against 455 defendants nationwide in alleged schemes involving more than $6.5 billion in false claims. Across South Florida, prosecutors announced charges against 12 defendants in cases tied to more than $4 billion in alleged fraudulent claims.
Seiler-Anstett’s case centers on durable medical equipment, or DME. Prosecutors allege that from about August 2018 through June 2022, she and others caused more than $58.3 million in false and fraudulent Medicare claims to be submitted for braces that were medically unnecessary, ineligible for reimbursement, or obtained through illegal kickbacks and bribes. Medicare paid about $30 million on those claims, according to the indictment.
The indictment alleges Seiler-Anstett helped enroll DME companies with Medicare in ways that hid the true owners and managers. Prosecutors said the arrangement allowed billing to be spread across multiple companies, making the volume of claims appear lower and helping the operators avoid Medicare scrutiny.
Federal prosecutors also allege Seiler-Anstett advised DME operators on how to structure their companies and billing practices to avoid detection. The alleged tactics included limiting billing through individual companies and avoiding claims from states where Medicare audits were more common.
The indictment says the claims relied in part on doctors’ orders generated through telemedicine providers who were not treating physicians, and did not examine beneficiaries. Prosecutors also described an alleged “doctor chase” tactic in which misleading orders were faxed to treating physicians in an effort to get them signed.
In exchange for submitting the claims, prosecutors allege Seiler-Anstett received a percentage of Medicare reimbursements paid to DME companies and other suppliers, totaling around $1.8 million.
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