A Dallas physician, the office manager of his practice and five owners of home health agencies have been arrested for allegedly participating in a fraud scheme that bilked Medicare and Medicaid of roughly $375 million — the largest alleged home health fraud scheme to date.
Jacques Roy, MD, allegedly used the home health agencies as patient recruiters so his practice, Medistat Group Associates, could bill unnecessary home visits and medical services to Medicare. Allegedly using Dr. Roy's signature for claims, the agencies' overbilled from as early as 2006 to 2011. The alleged scheme resulted in more than $350 fraudulent claims to Medicare and more than $24 million fraudulent claims to Medicaid.
Dr. Roy's office manager is also named in the indictment for allegedly permitting the agencies to bill Medicare for unnecessary services and accepting cash payments from the owner of one agency in exchange for ensuring plans of care contained Dr. Roy's signature or the signature of another Medistat physician.
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Jacques Roy, MD, allegedly used the home health agencies as patient recruiters so his practice, Medistat Group Associates, could bill unnecessary home visits and medical services to Medicare. Allegedly using Dr. Roy's signature for claims, the agencies' overbilled from as early as 2006 to 2011. The alleged scheme resulted in more than $350 fraudulent claims to Medicare and more than $24 million fraudulent claims to Medicaid.
Dr. Roy's office manager is also named in the indictment for allegedly permitting the agencies to bill Medicare for unnecessary services and accepting cash payments from the owner of one agency in exchange for ensuring plans of care contained Dr. Roy's signature or the signature of another Medistat physician.
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