WASHINGTON, June 23, 2017 /PRNewswire-USNewswire/ -- The Department of Health and Human Services Office of the Inspector General presented the Cooperative Achievement Award to a team including several Health Integrity staff. The award was "in recognition of outstanding contributions to the largest criminal investigation and successful prosecution of a single physician, Dr. Jacques Roy, involving the submission of more than $375 million in fraudulent claims." Sr. Vice President Scott Ward; Nurse Investigator and Law Enforcement Liaison Lisa Garcia, RN; and Clinical Educator and Law Enforcement Liaison Donna Large received the award.
"This was an unbelievable case," said Scott Ward. "Lisa Garcia testified in the trial as the first witness. Her testimony was so strong that there was no cross-examination."
According to the Department of Justice, Jacques Roy, M.D., 58, of Rockwall, "sold his signature," to process almost $375 million in false Medicare and Medicaid claims. He also signed off on services by more than 500 home-health agencies for 11,000 patients.
"Although the award was presented to a small group," continued Ward. "It really took a village to bring down Dr. Roy." Nurse Reviewers, Data Analysts, Project Support, Subject Matter Experts, and Law Enforcement Liaisons worked closely together combing through data, producing necessary documentation, and providing expert testimony. The Data team received 77 sample requests, which they processed in the 5-month time-period. The team conducted 72 Medical Reviews and processed 1,725 claims during the 9 months it took to investigate Dr. Roy. This showed the immense dedication of the ZPIC Staff to the Health Integrity mission.
Jacques Roy is expected to be sentenced in late August 2017.
"We are proud of the work of our team and their part in this historic investigation and prosecution," said Sandy Love. Once again demonstrating the effect of the best people, providing the best solutions, achieving the best results."
About Health Integrity
Headquartered in Easton, Maryland, Health Integrity www.HealthIntegrity.org is a wholly owned subsidiary of Quality Health Strategies www.qualityhealthstrategies.org and serves the entire nation in an effort to protect the fiscal and clinical integrity of healthcare systems. The company currently holds a number of federal contracts for detecting and combating health care fraud, waste, and abuse on a national and regional level.
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SOURCE Health Integrity, LLC