Michigan Doctor Sentenced to 18 Months for Role in Medicare Fraud Scheme

A Lansing-area doctor was sentenced to 18 months in prison for his role in a $13.8 million Medicare fraud scheme. In addition to his prison term, the doctor was sentenced to three years of supervised release and ordered to pay $582,912 in restitution.


The doctor pleaded guilty on January 10, 2013, to one count of health care fraud. According to information contained in plea documents, beginning on or around January 2011 and continuing through approximately March 2011, the doctor signed home health care referrals for a home health agency called Moonlite Home Care Inc., located in Livonia, Michigan. The doctor certified Medicare beneficiaries as homebound, a requirement for receiving home health care, when in fact, the doctor had never examined or met the beneficiaries, and they were not homebound. Medicare paid approximately $582,912 for fraudulent home health care claims submitted by Moonlite based on the doctor's referrals.


Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,500 defendants who have collectively billed the Medicare program for more than $5 billion. In addition, Health and Human Service’s Centers for Medicare & Medicaid Services, working in conjunction with its Office of Inspector General, is taking steps to increase accountability and decrease the presence of fraudulent providers.


See the DOJ Announcement