DOJ indicts doctor for $375 million Medicare fraud

By Andrew Jones
Tuesday, February 28, 2012 16:47 EDT
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U.S. Attorney General Eric Holder (AFP)
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The Justice Department indicted a Rockwall, Texas doctor Tuesday morning for allegedly receiving $375 million in phony Medicare billings in what is considered to be the largest health care fraud case in American history.

According to The Los Angeles Times, Dr. Jacques Roy is facing life in prison and a $250,000 fine for allegedly sending healthcare “recruiters” door to door and asking residents to sign forms with his signature. The move allowed Roy to claim those people as his patients without ever providing them his services.

Roy, who was assisted by his office manager Teri Sivils, also sent recruiters to a Dallas homeless shelter and payed $50 to every homeless person who signed the forms. Those scams allowed Roy, who started collecting signatures in 2006, to collect the most Medicare beneficiaries of anyone in the country.

“The conduct charged in this indictment represents the single largest fraud amount orchestrated by one doctor in the history of HEAT and our Medicare Fraud Strike Force operations,” Deputy Attorney General James Cole said in a statement. “Thanks to the historic partnerships we’ve built to combat health care fraud, we are sending a clear message: If you victimize American taxpayers, we will track you down and prosecute you.”

The Justice Department also revealed that 78 home agencies worked with Roy and have received an 18 month suspension from the Medicare program. The investigation marks the Justice Department’s several year effort to stop a rise in Medicare fraud across America.

Andrew Jones
Andrew Jones
Andrew Jones is a staff writer/reporter for Raw Story. Besides covering politics, he is also a freelance sports journalist, as well as a slam poetry and music artist. You can follow him on Twitter @sluggahjells.
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