Monday, April 9, 2012

TX: Biggest Medicare Fraud in History Busted in February, Says Feds

Federal officials say they have taken down the largest Medicare fraud scheme investigators have ever discovered: a $375 million dollar home healthcare scam operating in the Dallas, Texas area.

The alleged "mastermind" of the fraud, Dr. Jacques Roy, is charged with certifying hundreds of fraudulent claims for Medicare reimbursement, and pocketing millions in payments for services not needed, or never delivered. Prosecutors say the 54-year-old Dr. Roy, who was arrested today and could be sentenced to life in prison, operated a "boiler room" to churn out thousands of phony Medicare claims and recruited homeless people as fake patients

"Today, the Medicare Fraud Strike Force is taking aim at the largest alleged home health fraud scheme ever committed," said Assistant Attorney General Lanny Breuer. "According to the indictment, Dr. Roy and his co-conspirators, for years, ran a well-oiled fraudulent enterprise in the Dallas area, making millions by recruiting thousands of patients for unnecessary services, and billing Medicare for those services."

Full Article and Source:
Biggest Medicare Fraud in History Busted, Says Feds

See Also:
NASGA's Open Letter to Congress: The Fleecing of Medicaid and the Taxpayer

4 comments:

Thelma said...

Why was this allowed to go on for so long?

Vickie said...

Good question, Thelma. I was thinking the same thing.

Anonymous said...

When Medicare busts occur, we all benefit.

In Cook County Probate Court, there are many unethical behaviors on the parts of attorneys, judges, and guardians. Unfortunately, most unethical behaviors are difficult to prosecute, due to laws that protect the judges and guardians.

However, judges and guardians are not immune to a bust related to Medicare fraud. IF you suspect a kick-back to an agency or facility that accepts payments from medicare, report it immediately.

AL said...

I bet Chemung County New York and the band of questionable fellows running the nursing facilities in that area will make this Texas clan look like 1st graders when the day comes that the lights shine on them