Tag Archives: Restitution

Ex-revenue cycle director gets prison time for embezzling from Delaware hospital

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https://www.beckershospitalreview.com/legal-regulatory-issues/ex-revenue-cycle-director-gets-prison-time-for-embezzling-from-delaware-hospital.html?origin=cfoe&utm_source=cfoe

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Hope Abram, a former revenue cycle director at Lewes, Del.-based Beebe Healthcare, has been sentenced to prison for embezzling more than $100,000 from Beebe Healthcare, according to the Salisbury Daily Times.

Ms. Abram was arrested earlier this year after Beebe Healthcare officials alerted police of a potential internal embezzlement. A standard audit of receivables and payments pointed to several irregularities tied to Ms. Abram. She recently pleaded guilty to theft of greater than $100,000 in connection with the incidents.

Between February and May of 2017, Ms. Abram requested refund checks for fictitious people. When the checks were returned, she deposited them into her personal account.

Ms. Abram was sentenced to 25 years in prison, but much of it was suspended. She will serve two years in federal prison followed by home confinement. In addition to the prison term, Ms. Abram was ordered to pay $201,451 in restitution, according to the report.

Healthcare CEO sentenced to 19 years for $18M physical therapy fraud scheme

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https://www.beckershospitalreview.com/legal-regulatory-issues/healthcare-ceo-sentenced-to-19-years-for-18m-physical-therapy-fraud-scheme.html

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The former CEO of Team Work Ready, a Houston-based physical therapy chain, was sentenced June 1 to more than 19 years in prison for his role in an $18 million healthcare fraud scheme, according to the Department of Justice.

The sentencing came after a federal jury convicted Jeffrey Eugene Rose Sr. of healthcare fraud, conspiracy, wire fraud and money laundering in October 2016. Mr. Rose was one of three Team Work Ready executives convicted in the scheme.

According to federal prosecutors, Mr. Rose and his co-conspirators submitted $18.3 million in fraudulent claims for physical therapy services that were never provided through Mr. Rose’s 10 Team Work Ready clinics in Texas, Louisiana, Georgia, Tennessee and Alabama. The claims were submitted under the Federal Employees Compensation Act, which is administered by the Department of Labor’s Office of Workers’ Compensation Program.

In addition to the prison term, Mr. Rose was ordered to pay $14.5 million in restitution to the DOL’s Office of Workers’ Compensation Program.

 

 

Physician who claimed to have 11k patients sentenced to 35 years in prison

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http://www.beckershospitalreview.com/legal-regulatory-issues/physician-who-claimed-to-have-11k-patients-sentenced-to-35-years-in-prison.html

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A 60-year-old Texas physician was sentenced Aug. 9 to 35 years in prison for orchestrating a $375 million healthcare fraud scheme, according to the Department of Justice.

Federal prosecutors said Jacques Roy, MD, and his cohorts used promises of cash, groceries and food stamps to recruit patients, including some of Dallas’ homeless, as part of the fraud scheme.

From January 2006 to November 2011, Dr. Roy’s office, Medistat Group Associates in DeSoto, Texas, handled more home healthcare visits than any physician’s office in the country. Dr. Roy allegedly certified or directed the certification of more than 11,000 individual patients from more than 500 home healthcare agencies for home health services during that time, according to the DOJ.

“A doctor cannot care for 11,000 patients at once,” Assistant U.S. Attorney P.J. Meitl said during the trial, according to The Dallas Morning News

In April 2016, Dr. Roy, who has lost his medical license, was found guilty on eight counts of healthcare fraud, two counts of making a false statement relating to healthcare matters, one count of obstruction of justice and one count of conspiracy to commit healthcare fraud. Three owners of home healthcare agencies were also convicted on various felony offenses.

In addition to his 35-year prison term, Dr. Roy was ordered to pay $268.15 million in restitution.

Consulting firm president gets 5-year prison term for role in kickback scheme

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http://www.beckershospitalreview.com/legal-regulatory-issues/consulting-firm-president-gets-5-year-prison-term-for-role-in-kickback-scheme.html

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According to evidence presented at trial, Mr. Nerey referred Medicare beneficiaries to two home healthcare companies in return for kickbacks. Some of the patients he referred did not qualify for home healthcare services. Mr. Nerey was involved in the kickback scheme from October 2014 to September 2015, according to the DOJ.

In addition to his prison term, Mr. Nerey was ordered to pay more than $2.3 million in restitution.