On March 9, 2016, federal fraud trial commenced in the Dallas Division of United States District Court for the Northern District of Texas against Dr. Jacques Roy, who allegedly bilked Medicare and Medicaid for $374,000,000.00 over 6 years. According to prosecutors, the doctor recruited, recommended, and billed for extensive procedures that were unnecessary and/or not even provided on house-call visits (including to homeless in shelters), the supposed largest such fraud in the United States. Two of Dr. Roy’s partners already have pleaded guilty; the doctor’s own son is slated to testify against him; and four more of the doctor’s partners are being charged too.
Often Medicare, Medicaid, and other healthcare fraud is exposed by “whistle-blowers,” usually current and/or former employees. By federal law – the False Claims Act (“FCA”) – such civil informants are entitled to substantial monetary compensation simply for coming forward about fraud against the government. Since Mr. Waterman’s law firm represents whistle-blowers in FCA cases, do you know of one?