Rockwall doctor charged again in huge Medicare, Medicaid fraud case

ROCKWALL -  The Rockwall doctor who was arrested and charged by the U.S. Justice Department last February in what’s been called the largest Medicare and Medicaid fraud case in history pleaded “Not Guilty” to a new indictment last month, has learned.

Dr. Jacques Roy, who is accused with at least five others of defrauding Medicare and Medicaid of nearly $375 million, made the new plea in federal court in Dallas Sept. 20.

He’s now charged in a federal indictment with multiple counts of conspiracy, obstructing justice, fraud and making false statements. He is accused of signing thousands of claims to bill the federal government for unnecessary or unfilled services.

Roy agreed to surrender his license to practice medicine in the state last June, according to the Texas Medical Board. Roy has not admitted nor denied the charges against him, but agreed to a settlement to avoid a possible lawsuit.

In June, 2011, agents from the FBI and the Office of Health and Human Services Inspector General executed search warrants at Roy’s house in The Shores subdivision.

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, 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.

By J.J. Smith

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