By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    medication suppliers
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    bowl of vegetable salad
    Raw Foods: benefits and harms
    November 9, 2021
    pros and cons of the keto diet
    Read This Before You Follow the Keto Diet
    May 18, 2022
    Latest News
    Beyond Nutrition: Everyday Foods That Support Whole-Body Health
    June 15, 2025
    The Wide-Ranging Benefits of Magnesium Supplements
    June 11, 2025
    The Best Home Remedies for Migraines
    June 5, 2025
    The Hidden Impact Of Stress On Your Body’s Alignment And Balance
    May 22, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    ‘Free’ Health Screenings Vary As Much As 700%
    April 14, 2012
    Healthcare’s Interoperability Problem: A Q and A with HIMSS CEO
    August 12, 2013
    Due Diligence in Community Health Screening
    June 10, 2012
    Latest News
    Let Your Lawyer Handle the Work Before You Pay Medical Costs
    July 6, 2025
    Top HIPAA-Compliant Messaging Apps for Healthcare Teams
    June 25, 2025
    When Healthcare Ends, the Legal Process Begins: What Families Should Know About Probate and Medical Estates
    June 20, 2025
    Preventing Contamination In Healthcare Facilities Starts With Hygiene
    June 15, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Feds Bust Doctor for Medicare Fraud– Biggest MD Fraud Case in History
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Policy & Law > Medical Ethics > Feds Bust Doctor for Medicare Fraud– Biggest MD Fraud Case in History
BusinessMedical EthicsNews

Feds Bust Doctor for Medicare Fraud– Biggest MD Fraud Case in History

BarbaraDuck
BarbaraDuck
Share
1 Min Read
SHARE

When you read through this he had it all pretty well planned out so this was not an “accidental” case of errors with medical billing by any means.  Getting busted one and then going around to create another company to keep functioning is like really asking to be caught and there’s greed in fraud for sure.  What is also kind of funny is the book that they found that evidently was his business plan to make all the money and run, “Hide Your A$$ET$ and Disappear.”When you read through this he had it all pretty well planned out so this was not an “accidental” case of errors with medical billing by any means.  Getting busted one and then going around to create another company to keep functioning is like really asking to be caught and there’s greed in fraud for sure.  What is also kind of funny is the book that they found that evidently was his business plan to make all the money and run, “Hide Your A$$ET$ and Disappear.”image

Also too using folks from shelters and giving them grocery money and so forth was not a good idea either and if the folks were hungry well they maybe got some food out of the deal and probably had no idea as to the big over all scheme that was taking place.  Stories like this are just amazing as honest doctors fight, dig and scratch at times to get what’s owed and then you have this one who figured out how to work the system for $360 million.  Everyone got certified for care and a boiler room the article stated was in place to handle the paper work.  BD 

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.

The government charges that Dr. Roy was planning to take the money and run. He allegedly hid much of his Medicare money in an offshore account in the Cayman Islands, and in documents filed in court today, the government charges that Dr. Roy was planning to change his identity and flee the country to avoid prosecution. In a motion opposing bail for Dr. Roy, prosecutors claim that he had created a false Canadian identity under the name Michel Poulin, had a copy of a book called “Hide Your A$$ET$ and Disappear,” and a guide to yacht registration in the Caymans.

In some cases, the indictment charges, Medicare patients were recruited by offering cash and groceries in return for signing up for home health care. These fraudulent “patients” were then allegedly certified by Dr. Roy for services. Some of those recruits didn’t even have a home to visit, according to sources close to the investigation: they were recruited from homeless shelters.

 

More Read

Why Can’t Medical Care Work This Way
7 Trends Driving Global Health and Life Sciences in 2015 [INFOGRAPHIC]
Bragging Rights: How Personal Branding Benefits Doctors
The PCMH and Home Care Data: An Interview with Melissa McCormack
“How Much is That?” = Quest for VALUE
TAGGED:medicare fraud
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

pediatric healthcare spaces
Designing Calm: How Pediatric Healthcare Spaces Reduce Anxiety Through Thoughtful Design
Infographics
July 15, 2025
EHR
The Hidden Costs Of The ER: What You’re Really Paying For
Infographics
July 15, 2025
9 Lifestyle Tweaks That Can Add Years to Your Life
9 Healthcare Lifestyle Tweaks That can Add Years to Your Life
lifestyle
July 11, 2025
car accident lawsuit
Let Your Lawyer Handle the Work Before You Pay Medical Costs
Policy & Law
July 6, 2025

You Might also Like

Disease Registries Help Doctors Share Information

December 16, 2011

Off-Label Drug Promotion and the First Amendment

November 4, 2011
outsourcing your RCM
BusinessFinanceHospital Administration

4 Key Signs It’s Time to Outsource Your RCM

January 28, 2015
Medical Device Marketing
BusinessMedical DevicesTechnology

How to Focus Your Medical Device Marketing Strategies?

September 12, 2014
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?