WASHINGTON — Federal law enforcement officials announced charges in the largest health care fraud scam in the nation's history, indicting a Texas physician on charges of bilking Medicare and Medicaid of nearly $375 million for home health services that were not properly billed, not medically necessary or not done.
Indeed, the Medicare billings piled up by Dr. Jacques Roy grew so large that it left outside experts wondering Tuesday why it took prosecutors so long to notice. "To get that kind of money, you'd need to be treating a million people," said Andrew Selesnick, a Los Angeles lawyer who represents physicians.
Roy, 54, was arrested Tuesday at his Rockwall, Texas, home. He faces a maximum sentence of 100 years in prison and at least $18.5 million in fines and forfeitures if convicted.