This $375 Million Health Care Fraud Scheme Went Unnoticed For Years

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Dr. Jacques Roy, his office manager and five home health agency owners were arrested in Dallas this week for their alleged involvement in a $375 million health care scheme, reports L.A. Times’ Richard A. Serrano.

The arrest followed an investigation led by Medicare Fraud Strike Force program, a health care fraud prevention team with the Dept. of Justice and Dept. of Health and Human Services

Between January 2006 and November 2011, Roy allegedly ran Medistat, a medical association that billed Medicare and Medicaid patients for home care services. 

The problem was, many of the services Roy claimed may have never been rendered. Roy allegedly sent phony recruiters to collect patients’ signatures for forms he had already signed. According to the investigation, this enabled him to file phony claims with the government for cash. 

The Roy case is the second this week involving a doctor filing false claims. Roy faces a life sentence in prison if convicted. 

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