Corporate Compliance

Patient recruiter pleads guilty to role in $5.2 million home healthcare scheme

Compliance Monitor, November 3, 2010

A Houston-based patient recruiter pleaded guilty in connection with a $5.2 million Medicare fraud scheme, according to a Department of Justice press release.

Sammie Wilson, 69, admitted to receiving kickbacks for referring beneficiaries for services that she knew were not medically necessary and/or not rendered by Family Healthcare Group, a home healthcare company. The company owner hired Wilson and other co-conspirators to recruit Medicare beneficiaries for the purposes of filing false claims with Medicare.

The case was a product of the Medicare Fraud Strike Force, which since its inception in March 2007 has obtained indictments of more than 825 individuals who collectively have falsely billed the Medicare program for more than $2 billion.

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