Corporate Compliance

Missouri doctors indicted on healthcare fraud and money laundering

Compliance Monitor, August 27, 2008

On August 22, a grand jury indicted Dr. James Ellegood, his wife Wynsleen Ellegood, and Dr. Rajitha Goli for submitting false claims to Medicare and Medicaid for non-rendered physician home visits.
 
The Ellegoods operate Missouri Physician Home Services, Inc. based in Desoto, MS. Goli provided medical services to the company’s patients.
 
According to the Department of Justice (DOJ) press release, nurses and nurse practitioners employed by PHS made unaccompanied home visits to patients. Dr. Ellegood would later sign claims stating he was present at the visit when he was not. According to the DOJ, Ellegood signed off on visits that occurred while he was as far away as the Bahamas and Mexico.
 
The DOJ also claims PHS submitted claims using Ellegood’s identifier number for services provided by Goli knowing that she was not allowed to practice in the state and has been excluded from the Medicare and Medicaid programs. In 2002, Goli was convicted of healthcare fraud resulting in the revocation of her medical license.
 
To read the full DOJ press release click here

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