Clinic Manager Heads to Prison for Health Care Fraud
Houston
   
 
More Today's News:
ߦ   2 teens caught after escaping juvenile prison in Giddings
ߦ   5 arrested on murder charges stemming from Texas arson case
ߦ   Investigation into Fatal Shooting at 14600 Buffalo Speedway
ߦ   Man fought gunman: He 'was going to have to work to kill me'
ߦ   'We're going to see Jesus' Mother accused of setting car on fire with kids inside
ߦ   3 Billings cops disciplined for having sex on city property
ߦ   Child Sex Tourism
ߦ   Dickinson Public Library To Host Teen Job Fair
ߦ   Fallen SAPD officer gives the gift of life to 4 strangers
ߦ   Former First Lady Barbara Bush's funeral arrangements
ߦ   Grandma arrested after killing husband and another woman
ߦ   Heroes Down: Gilchrist Deputies Noel Ramirez & Taylor Lindsey Assassinated
ߦ   Homicide on Healey Drive
ߦ   Investigation into Fatal Crash at 2100 State Highway 6 South
ߦ   Man charged with solicitation of capital murder for allegedly trying to hire hitman to kill four
ߦ   Round Rock Man Faces Federal Counterfeiting Charges
ߦ   Texas City Valero Hit By Explosion, Fire
ߦ   Baby killer Genene Jones back in San Antonio court
ߦ   Burnet County Sheriffs Office - Inmate/Arrests Summary
ߦ   Canine Distemper Closes Animal Shelter
ߦ   Charges filed in shooting of deputy constables
ߦ   Constables arrest suspect for Failure to Stop and Render Aid
ߦ   Dickinson PD Will 'Play It Cool' This Summer
ߦ   DWI gets driver $1k fine 10 days in county jail
ߦ   Former FBI Special Agent Pleads Guilty to Leaking Classified National Defense Information
ߦ   Investigation into Fatal Crash at 3000 North Sam Houston Parkway East
ߦ   Local Businessman Sentenced for Credit Card Fraud and ID Theft
ߦ   Major Takedown Dismantles Multi-State Heroin and Fentanyl Network
ߦ   Paris Police Dept - Daily Arrests/Activity Summary
ߦ   Reward Offered for Most Wanted Fugitive, Gang Member from Austin
ߦ   Suspect arrested for Intoxication Assault after crash leaves victim seriously injured
ߦ   UPDATE: Suspect Arrested, Charged in Fatal Crash at 11401 South Post Oak
ߦ   Update: Unified Command responds to gas pipeline fire near Port O'Connor
ߦ   17 Huntsville prisoners on hunger strike after lockdown following feces-throwing, other infractions
ߦ   Brownsville man convicted of stabbing 85-year-old woman with screwdriver gets execution date

   Next >>
 
Search Archives:

FOR IMMEDIATE RELEASE

ANGELA DODGE

MONDAY, MARCH 6, 2017

PUBLIC AFFAIRS OFFICER

https://www.justice.gov/usao-sdtx

         

 

Clinic Manager Heads to Prison for Health Care Fraud

 

HOUSTON – The 47-year-old owner and operator of Elite P. Care Medical Services has been sentenced for her role in a health care fraud conspiracy that billed Medicare and Medicaid for more than $1 million in fraudulent health care claims, announced U.S. Attorney Kenneth Magidson.

 

Verona Spicer, of Houston, pleaded guilty to conspiracy and health care fraud charges in October 2015. Today, she was ordered to federal prison for 33 months.

 

Spicer had clinics located on Harwin Drive in Houston and in Port Arthur. She submitted claims to Medicare and Medicaid that fraudulently billed for physician office visits not performed by a licensed physician, physical therapy services not provided or performed by a licensed physical therapist and medical diagnostic tests not ordered as medically necessary by a licensed physician. 

 

Spicer paid Houston physician Dr. Jocelyn Pyles, 59, of Sugar Land, who formerly worked full-time as a physician for the City of Houston. After completing her work for the City of Houston, would go to Spicer’s clinics where she signed patient medical records for patients she had not seen or examined. Spicer and Pyles signed Medicare and Medicaid enrollment applications that enabled the fraudulent billing under Pyles’ Medicare and Medicaid provider numbers. 

 

A foreign medical graduate who was not licensed to practice medicine in the United States was actually the person who saw the patients.

 

Pyles was also ordered to prison after a jury convicted her of 14 counts of health care fraud in November 2015.

 

Spicer and Pyles were both also ordered to pay Medicare and Medicaid $560,718.62 in restitution.

 

The Department of Health and Human Services – Office of Inspector General, FBI, Texas Attorney General’s Medicaid Fraud Control Unit conducted the investigation with assistance of Medicare Zone Program Integrity Contractor, Health Integrity LLC. Assistant U.S. Attorney Julie Redlinger prosecuted the case.

 

###

Post a comment
Name/Nickname:
(required)
Email Address: (must be a valid address)
(will not be published or shared)
Comments: (plain text only)
Printer Friendly Format  Printer Friendly Format    Send to a Friend  Send to a Friend    RSS Feed  RSS Feed
  Facebook   Share link on Twitter Tweet  
© 1999-2018 The Police News. All rights reserved.