7 accused of $375M Medicare, Medicaid fraud

By Nomaan Merchant

Associated Press

Published: Wednesday, Feb. 29 2012 1:20 a.m. MST

Others indicted are accused of offering free health care and services like food stamps to anyone who signed up and offered their Medicare number.

Roy would "make home visits to that beneficiary, provide unnecessary medical services and order unnecessary durable medical equipment for that beneficiary," the indictment alleged. "Medistat would then bill Medicare for those visits and services."

The indictment says Roy's business manager — identified only by his initials — recorded conversations between the two in January 2006.

A spokesman for Trailblazer Health Enterprises, which paid home health claims through a contract with federal authorities, did not return a phone message Tuesday.

Health care fraud is estimated to cost the government at least $60 billion a year, mainly in losses to Medicare and Medicaid. Officials say the fraud involves everything from sophisticated marketing schemes by major pharmaceuticals encouraging doctors to prescribe drugs for unauthorized uses to selling motorized wheelchairs to people who don't need them.

Associated Press writers Ricardo Alonso-Zaldivar in Washington, D.C. and Juan Lozano in Houston contributed to this report.

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