Owner of Dallas Health Care Company Gets 17 Years in Federal Prison for Role in Huge Fraud
U.S. District Judge Sam Lindsay sentenced the owner of a Dallas home health care company to 17 years in federal prison Tuesday for his role in what authorities have called the biggest instance of home health care fraud in the history of Medicare and Medicaid. Lindsay also ordered Wilbert James Veasey Jr., 65, to pay more than $23 million in restitution to Medicare and more than $506,000 in restitution to Medicaid.
According to federal prosecutors, Veasey and his co-defendants, Jacques Roy, Cynthia Stiger and Charity Eleda, "engaged in a large-scale, sophisticated health care fraud scheme in which they conspired together and with others to defraud Medicare and Medicaid through companies they owned/controlled: Medistat Group Associates, P.A., Apple of Your Eye Health Care Services, Inc., Ultimate Care Home Health Services and Charry Home Care Services."
The scheme went like this: Veasey, Stiger and Eleda improperly recruited individuals with Medicare to fraudulently sign up for Medicare home health services. Prosecutors said Veasey usually trolled for sign-ups by going door-to-door. Eleda took things further, prosecutors said, bribing residents of The Bridge homeless shelter with McDonalds so that they would visit Eleda's van outside the shelter's gates. Eleda, a nurse, would falsify documents with other nurses to make it seem like a prospective patient was eligible for home health services that weren't medically necessary.
Roy, a doctor, then had his staff certify the plans of care developed for the fraudulent home health patients, signing off that he found the treatment to be medically necessary. The doctor and his employees did this for thousands of patients of Roy's practice, Medistat — so many that "Medistat’s office included a '485 Department,' essentially a 'boiler room' to affix fraudulent signatures and certifications," prosecutors say.
Read more: http://www.dallasobserver.com/news/dallas-man-sentenced-in-374-million-healthcare-fraud-9563528
DOJ Release: https://www.justice.gov/usao-ndtx/pr/owner-apple-your-eye-healthcare-services-inc-sentenced-210-months-federal-prison-role
