Feds Announce Largest Single Physician Medicare Fraud Bust
By Todd Rodriguez
I have been speaking with physicians for years about the importance of developing effective fraud and abuse compliance programs in their practices and I often still get the same response: The government is only interested in the big fish like pharmaceutical manufacturers and hospitals -physicians are under the radar.
Well, contrary to popular belief, it appears that there are some pretty big fish in the physician community when it comes to fraud enforcement. The Department of Justice announced this week the largest Medicare fraud bust by dollar amount of a single physician ever. Dr. Jacques Roy of Texas was accused on Tuesday of a fraud scheme which resulted in improper payments from the Medicare and Medicaid programs totaling in excess of $375 million and spanning more than half a decade.
According to the DOJ, Dr. Roy allegedly certified or directed the certification of more than 11,000 individual patients from more than 500 home health agencies over the past five years. Between 2006 and 2011, Dr. Roy's medical-practice allegedly certified more Medicare beneficiary for home health services and any other practice in the country.
Government Cracks Down on Violators as Medicare Fraud Increases The federal government is about to announce a national effort to fight Medicare fraud by looking at billing by medical equipment suppliers. There has been an increase in Medicare fraud, particularly in Southern California and South Florida where Medicare are plenty...
Feds Announce Largest Healthcare Fraud Takedown Underway MIAMI (July 16) - U.S. Agents have arrested 94 doctors, health care owners, and executives in a nation-wide crack down on fraudulent medicare billing, U.S. Attorney General and Health and Human Services Secretary Kathleen Sebilius announced today in Miami,...