Two Dallas-area doctors and four medical professionals have been charged for their roles in a $13.4 million Medicare fraud scheme involving home health services.
According to the indictment, from 2007 to 2015, the ring conspired to defraud Medicare by submitting and hiding false claims. Beneficiaries who were not patients and did not qualify for services were allegedly certified for home health care by the doctors in question. The indictment also alleges that recruiters were paid illegal kickbacks to signup beneficiaries, even if the beneficiaries did not need home health care services.
Additionally, fraudulent Medicare documents were allegedly prepared to make it appear as though beneficiaries qualified for services. Learn more about the people under indictment in the Department of Justice (DOJ) announcement.
The indictment alleges that over the eight year period, the ring billed Medicare approximately $13,434,550 based on false home health certifications as well as false and fraudulent claims for home health services.
The case was investigated by the U.S. Department of Health and Human Services-Office of Inspector General (HHS-OIG) Dallas Region, the FBI Dallas Field Office, and the Texas Attorney General’s Medicaid Fraud Control Unit (MFCU). The case was brought as part of the Medicare Fraud Strike Force, and supervised by the Criminal Division’s Fraud Section and the U.S. Attorney’s Office of the Northern District of Texas.
We Can Help You Report Home Health Fraud
While Waters Kraus & Paul is not handling this particular home health fraud case, we are representing whistleblowers in similar False Claims Act lawsuits. If you have comparable claims against a different home health service and medical professionals that are defrauding the government, email us or call our qui tam attorneys at 800.226.9880. We can answer your questions and guide you through the reporting process.