A federal jury ruled a Texas physician was guilty of a $16 million scheme to defraud Medicare by signing false “plans of care” for home health services.
Yolanda Hamilton, 56, the owner and operator of HMS Health and Wellness Center, was found guilty on Monday on one count of conspiracy to commit healthcare fraud, one count of conspiracy to solicit and receive healthcare kickbacks and two other counts of false statements on healthcare matters.
From 2012 to 2016, Hamilton and others submitted false claims to Medicare that made it appear her patients and co-conspirators needed home health services, according to the Department of Justice.
“In fact, Hamilton and her co-conspirators paid the patients to sign up and recertify their home health services when those services were often not medically necessary, not provided or both,” the DOJ said in a release. “The evidence also showed that Hamilton charged home health agencies an illegal kickback in the form of a patient ‘fee’ for certifying and recertifying patients for home-health services that the home health agencies, not the patients, would pay.”