Corporate Compliance

Medical assistant sentenced to 3 years in prison for Medicare fraud scheme

Compliance Monitor, February 16, 2011

Guy Ross, 51, a Detroit-area medical assistant, will serve 36 months in prison and pay $472,000 in restitution for his role in a conspiracy to defraud Medicare, according to a Department of Justice (DOJ) press release.

According to the DOJ, Ross received kickbacks from several Detroit-area home health agencies in exchange for referring home health patients to those entities. Ross typically received $500 per patient in exchange for beneficiary information. After paying the kickbacks the home health agencies allegedly billed Medicare for home health visits totaling more than $472,000 in fraudulent billing.

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