Corporate Compliance

Doctor arrested for alleged role in $375 million healthcare fraud scheme

Compliance Monitor, March 7, 2012

Federal agents arrested a Dallas area physician and his practice office manager in connection to a $375 million healthcare fraud scheme, according to a February 28 Department of Justice press release. Additionally, five home health agency owners were arrested in connection with the scheme.

Court documents indicate that between January 2006 and November 2011, Jacques Roy, M.D., and Teri Sivils, Roy’s office manager, fraudulently billed Medicare $350 million and Medicaid $24 million for home services that were not medically necessary or not rendered to beneficiaries.

The five home health agency owners, Cynthia Stiger, Wilbert James Veasey, Cyprian Akamnonou, Patricia Akamnonu, and Charity Eleda, participated in the scheme by recruiting beneficiaries through their agencies and provided Roy with their Medicare or Medicaid information.

Read more on the Department of Justice website.

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