What had plagued the home care industry for many years is apparently not isolated to just this industry. Committing Medicare fraud is a serious offense and a Texas doctor was recently sentenced to three years in federal prison for her part in a $5.9 million Medicare fraud scheme.
Joy Aneke, 51, of Katy learned of her sentence recently that was handed down by U.S. District Judge Kenneth M. Hoyt. She had been charged with seeking out Medicare patients and billing Medicare for expensive tests and other procedures that were either unnecessary or not even performed.
The basics of this case sound eerily similar to numerous arrests and prosecutions of home health care owners and managers who committed the same types of fraud. Billing Medicare for services that were unnecessary or not even performed is a serious offense and it not only affects those who are arrested and accused of these charges, but numerous people who may need these types of services in the future.
In this case, Ms. Aneke pleaded guilty to some of the charges on May 16 and finally learned about her sentence.
According to Chron in Houston, in the news article, Katy woman headed to federal prison for orchestrating $5.9 million Medicare scheme at clinic, written by Gabrielle Banks:
“Aneke pleaded guilty on May 16 to conspiracy to commit health care fraud at Jadac Unique Health Services, Almeda Physicians Clinic and the home health agency Community Joyful Home Health that operated in Harris and Fort Bend Counties. Two other employees entered identical pleas to conspiracy charges in April, admitting they helped operate the government fraud.
Documents indicated the clinic had provided costly exams including allergy tests, complex bladder, anal tests and urinary muscle studies.
However, an investigation showed the clinics did not have the equipment to provide such services.”
She was also ordered to pay back $2.76 million in restitution to the federal health care program. One of the keys that helped investigators unlock this conspiracy was that the clinic did not have some of the equipment needed to perform some of the procedures for which Medicare have been billed.
Within the home health care industry, it becomes increasingly important for people to be aware of these types of fraud and report suspicion of fraud to the appropriate authorities. When the home health care and health care industry comes together to combat fraud and deception, it lays the groundwork for improved quality of care and access to services for potentially tens of thousands of seniors and disabled adults in the years ahead.