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Rockwall doctor charged with largest Medicare Fraud in history

U.S. Justice Dept. press conference yesterday

DALLAS – A doctor who lives in The Shores in Rockwall, a registered nurse who lives in Rowlett and four others have been arrested and charged by the U.S. Justice Department officials with what’s being called the largest Medicare fraud case in U.S. history.

Dr. Jacques Roy, 54, who owns Medistat Group Associates doing business as Healthcare Medical Associates in DeSoto, allegedly cheated Medicare, Medicaid and, ultimately, taxpayers of $375 million dollars between January, 2006 and November, 2011.

During that time period, Medistat certified more Medicare beneficiaries for home health services and had more patients than any other medical practice in the US.

Charity Eleda R.N., 51, of Rowlett, who owns Charry Home Care Services, allegedly sent recruiters to the Bridge homeless shelter in Dallas, paying them $50 for each person they signed up.

Also indicted were Dr. Roy’s office manager Teri Sivils, and the owners of other home health care agencies:

Apple of Your Eye – Cynthia Stiger and Wilbert James Veasey, Jr.

Ultimate Care Home Health Services – Cyprian and Patricia Akamnanu R.N.

All six defendants appeared in court yesterday afternoon.

At a press conference yesterday, top officials with the U.S. Justice Department and FBI called it a massive operation involving 500 Home Health agencies and 11,000 Medicare beneficiaries, all in the Dallas area.

“This represents the single largest fraud amount orchestrated by one doctor in the history of our Medicare fraud strike-force operation,” said James Cole, U.S. Deputy General.

Last June agents from the FBI and the Office of Health and Humans Services Inspector General executed search warrants at Roy’s Rockwall house and at one of the healthcare agencies, Charry Home Care Services, in Dallas.

Investigators found evidence of overseas bank accounts and fake identification cards, plus the books “Hide Your Assets and Disappear: A Step-by-Step Guide to Vanishing Without a Trace,” and “The Offshore Money Manual,” suggesting 23 worldwide locations favorable to offshore banking. The documents also show that Roy owns a sailboat named “One Trick Pony.”

The money allegedly went to purchase houses and lots for Roy’s associates and for a number of vehicles, sailboats and accounts Roy had offshore.

The operation was discovered by a woman who worked for a home health agency, who told federal prosecutors that she noticed something was wrong when she went to the office of Dr. Jacques Roy. She said Roy and her employer were fraudulently billing Medicare for home health care. In some cases, the patients had passed away. The FBI had the whistleblower and other office workers wear microphones.

The home health care agencies would allegedly recruit homeless people from The Bridge Homeless Shelter in Downtown Dallas who did not need skilled home health care. They allegedly gave the Medicare beneficiaries cash and groceries to get them to sign up for home health services.

They also allegedly dispatched more “recruiters” to a homeless shelter in Dallas, paying $50 to every street person they coaxed from a nearby parking lot and signed him up on the bogus forms.

A physician for 28 years, Dr. Roy now faces life in prison and a $250,000 fine, as well as restitution of the vast sum of money he allegedly cost the federal government.

Click here to read the federal indictment against Dr. Roy and his co-defendants.

By J.J. Smith, Publisher

 

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