Healthcare Fraud: ROMY MACASAET JR. Admitted That he Paid Illegal Kickbacks to Procure Referrals of Elderly Patients on Medicare

Healthcare Fraud

<h2>Owner of Illinois Home Health Company Admits Paying Illegal Kickbacks to 20 Medical Directors for Referrals of Medicare Patients<&sol;h2>&NewLine;<p>CHICAGO — The owner of a home health care company headquartered in Lemont admitted in federal court today that he paid illegal kickbacks to procure referrals of elderly patients on Medicare&period;<&sol;p>&NewLine;<p>ROMY MACASAET JR&period; paid kickbacks to medical directors to obtain referrals of Medicare beneficiaries to his company&comma; Home Bound Healthcare Inc&period;&comma; which was one of the largest home healthcare and hospice companies in Illinois&period;  Macasaet acknowledged in a plea agreement that he retained and paid Medical Directors a monthly fee solely for the purpose of obtaining patient referrals&comma; and not for medical services&period;  Macasaet also acknowledged that he used Medical Director agreements as a way to conceal the payment of kickbacks&period;<&sol;p>&NewLine;<p>Between approximately December 2006 and September 2014&comma; Macasaet paid &dollar;789&comma;327 in bribe payments to approximately 20 medical directors&comma; according to the plea agreement&period;  As a result of the payments&comma; Home Bound improperly sought and received Medicare reimbursements totaling several million dollars&period;<&sol;p>&NewLine;<p>Macasaet&comma; 47&comma; of Homewood&comma; pleaded guilty to one count of violating the Anti-Kickback Statute&period;  The conviction is punishable by up to five years in prison&period;  U&period;S&period; District Judge Samuel Der-Yeghiayan set sentencing for Feb&period; 15&comma; 2017&comma; at 10&colon;30 a&period;m&period;<&sol;p>&NewLine;<p>Macasaet and Home Bound also agreed to pay the United States &dollar;6&period;8 million to resolve the civil false claim and anti-kickback allegations&comma; per the terms of a settlement agreement announced today&period;  The agreement settles claims that Home Bound and its subsidiaries violated the federal False Claims Act and Anti-Kickback Statute by obtaining referrals through illegal kickbacks that served as <a class&equals;"wpil&lowbar;keyword&lowbar;link" href&equals;"https&colon;&sol;&sol;www&period;fraudswatch&period;com&sol;tag&sol;financial-fraud&sol;" title&equals;"financial" data-wpil-keyword-link&equals;"linked" data-wpil-monitor-id&equals;"605">financial<&sol;a> inducements for false certifications of eligibility for home health services&comma; and by improperly submitting those false claims to Medicare for reimbursement&period;<&sol;p>&NewLine;<p>As part of the civil settlement&comma; Macasaet agreed to immediately resign his employment with Home Bound and refrain from seeking future employment with the company&period;  Macasaet further agreed to divest his ownership interest in Home Bound within 120 days of formal entry of the agreement&period;  The settlement was reached by the Justice Department on behalf of the Office of the Inspector General of the U&period;S&period; Department of Health and Human Services&period;<&sol;p>&NewLine;<p>Contemporaneous to the settlement agreement&comma; Home Bound and the HHS Inspector General’s Office entered into a corporate integrity agreement to promote compliance with the directives of Medicare&comma; Medicaid&comma; and other federal health care programs&period;  As part of the integrity agreement&comma; Home Bound must establish a compliance program to develop and implement policies&comma; procedures&comma; and practices designed to ensure compliance with the requirements of federal health care programs&period;<&sol;p>&NewLine;<p>The plea agreement and civil settlement were announced by Zachary T&period; Fardon&comma; United States Attorney for the Northern District of Illinois&semi; Lamont Pugh III&comma; Special Agent-in-Charge of the Chicago Regional Office of the U&period;S&period; Department of Health and Human Services Office of Inspector General&semi; and Michael J&period; Anderson&comma; Special Agent-in-Charge of the Chicago Office of the Federal Bureau of Investigation&period;  Substantial investigative assistance was provided by the U&period;S&period; Department of Labor Office of Inspector General&comma; and the Chicago Field Office of the U&period;S&period; Department of State Diplomatic Security Service&period;<&sol;p>&NewLine;<p>The government is represented in the criminal case by Assistant U&period;S&period; Attorney Sunil Harjani&comma; and in the civil case by Assistant U&period;S&period; Attorney David R&period; Lidow&period;<&sol;p>&NewLine;<p><a href&equals;"https&colon;&sol;&sol;www&period;justice&period;gov&sol;usao-ndil&sol;pr&sol;owner-illinois-home-health-company-admits-paying-illegal-kickbacks-20-medical-directors">Original PressReleases&&num;8230&semi;<&sol;a><&sol;p>&NewLine;

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