Home > Industry Articles > $374 Million Consipracy Exposed in Texas

$374 Million Consipracy Exposed in Texas

Texas physician Dr. Jacques Roy is charged in a $374 million conspiracy to defraud Medicare and Medicaid.  According to the indictment filed in the US District Cout for the Northern District of Texas, one of the tactics used by conspiring home health companies  was to “write visit notes to make it appear that they provided skilled nursing to the Recruited Beneficiaries when no skilled nursing was provided.” (Page 11, item 34 of the indictment).

This is an example of how using Electronic Visit Verification (EVV) may have helped prohibit falsifying visit notes, since EVV systems are capable of electronically capturing and verifiying the time and location of the services as they are provided.  Consistent with the Obama administrations pledge to devote more resources to detecting Medicare and Medcaid fraud as it happens, real-time technical safeguards such as EVV can be effective methods to carry out those strategies.

Categories: Industry Articles
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