A Medical Doctor Convicted for Defrauding the Medicare Program

A Medical Doctor Convicted for Defrauding the Medicare Program

A Texas Medical doctor was sentenced in connection to a multi-million Medicare Fraud Conspiracy.

A Texas medical doctor was convicted to five years in prison on 18th November 2020 for her participation and role in a multi-million Medicare fraud conspiracy.

Acting Assistant Attorney General of the Justice Department’s Criminal Division, Brian C. Rabbitt; Ryan K. Patrick, United States Attorney of the Southern District of Texas; Special Agent Perrye K. Turner in Charge of the Federal Bureau of Investigations – Houston Field Office; Special Agent Miranda Bennett in Charge of the HHS-OIG’s (United States Department of Health and Human Services Office of the Inspector General) Dallas Regional Office; and the Texas Attorney General’s MFCU (Medicaid Fraud Control Unit) reported the conviction.

United States District Judge of the Southern District of Texas, Keith P. Ellison, convicted Yolanda Hamilton, a medical doctor, age 57, from Harris County, Texas, the owner and controller of HMS Health and Wellness Center, PLLC. Judge Keith P. Ellison further directed the accused person to reimburse 9.5 million U.S. dollars in restitution.

Yolanda Hamilton was sentenced by a federal Judge of one conspiracy count to commit health care fraud, one conspiracy count to solicit and obtain health care kickbacks, and two charges of false and fraudulent statements associated with health care matters in October 2019. As per the attestation submitted at the trial, between January 2012 and August 2016, Yolanda Hamilton schemed with others to swindle the Medicare program by rubber-stamping fraudulent and false home healthcare paperwork that was utilized to submitted falsified and fraudulent claims to the Medicare program.

Yolanda Hamilton and her co-schemers made it seem like the patients qualified and obtained home health care services when they often did not. In actual fact, members of the scheme reimbursed the patients to obtain the home health care services, which were frequently medically unrequired, not offered, or both. The attestation also revealed that Yolanda Hamilton wanted home health care agencies to reimburse an unlawful kickback, which Yolanda Hamilton disguised as a co-pay, in return for Yolanda Hamilton recertifying and certifying patients for home health care services.

The attestation established that Yolanda Hamilton generally would not release the home health care paperwork until the home health care firms or their promoters reimbursed her the kickback. The conspiracy led to nearly millions of fraudulent and false claims for home health care services to the Medicare program and Yolanda Hamilton obtaining more than 300,000 U.S. dollars in kickbacks.

Every accused person, such as Yolanda Hamilton, remains not guilty until sentenced after been proved guilty beyond a reasonable doubt by a judge in a court of law.

Up to now, numerous co-schemers including promoters, patients’ enrollers together with physicians, and nurses who bought plans of health care and additional rubber-stamped medical documents from Yolanda Hamilton have been indicted, found liable, or admitted guilty to a scheme to commit health care fraud and/ or reimbursing or obtaining kickbacks.

The FBI (Federal Bureau of Investigation), HHS-OIG (United States Department of Health and Human Services – Office of the Inspector General), and MFCU (Medicare Fraud Control Unit) investigated the matter. The case submitted as part of the MFSF (Medicare Fraud Strike Force), under the instructions of the Fraud Section of the Criminal Division and the Office of United States Attorney for Texas’ Southern District. Scott Armstrong, Trial Attorney, charged the case. Trial Attorneys Carlos Lopez, Thomas Tynan, and Catherine Wagner of the Fraud Section prosecuted the matter.

The Fraud Section controls and supervises the Medicare Fraud Strike Force, which was established in March 2007. Since its establishment, the MFSF (Medicare Fraud Strike Force, which controls fifteen strike force operating in twenty-four federal districts, has indicted over 4,200 accused who have jointly debited approximately 19 billion U.S. dollars from the Medicare program. Besides, the U.S. Health and Human Services Department Centers for Medicaid and Medicare Services, working jointly with the HHS-OIG (United States Department of Health and Human Services – Office of the Inspector General), are taking measures to increase accountability of health care practitioners and reduce the presence of dishonest providers.

Conspiring to execute Health Care Fraud, breaking the anti-kickbacks Act, or breaching the False Claim Statute is a serious crime. Individuals who commit these crimes violate the law and are severely penalized if found guilty of the charges. Once charged for health care fraud-related offenses, you must look for the best legal representation or help to protect and pursue your rights. Hire our highly proficient team of defense and criminal lawyers if you require the best legal representation, help, and advice, which will lead to attaining positive results for your matter. At Health Care Fraud Group, we consist of a highly experienced team of attorneys with numerous years of experience in handling Health Care Fraud related issues associated with the Federal Health Care Program; they are very knowledgeable about civil and federal cases. The defense lawyers are well recognized across the United States due to their excellent work and professionalism when dealing with health care fraud cases and inquiries. They are well furnished with previous knowledge of every aspect of Health Care fraud defense, medical, and legal issues.

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