Wichita Falls, Tex. native and Texas Attorney General Greg Abbott announced today, Monday, Oct. 14 he is prosecuting a man for billing Medicare and Medicaid for work which would have required him to work more than 24 hours in a single day, according to a report by the Texas Attorney General's Office. Dr. Roque Joel Ramirez, 48, the owner of Health Resolutions, Inc., has been charged for sending false and fraudulent billings to Medicare and Medicaid.
Abbott continues supervising his hard-charging office while at the same time running for Texas governor in the Republican primary. He would be the first Wichita Falls native elected governor of the Lone Star State if he defeats Republican opponent Tom Pauken and Democratic aspirant Wendy Davis.
The indictment returned by a Nueces County grand jury on Oct. 9 charged the Texas doctor with engaging in a scheme to defraud Medicare and Medicaid through fraudulent billings for physician services he did not provide. It is alleged he submitted about 4, 970 false and fraudulent bills to Medicare and Medicaid totaling over $1.4 million.
The indictment further alleges he claimed to have personally provided services to patients who had died prior to the dates of his claimed services, and that he also billed for medical services he claimed to have personally provided to patients in Texas on days when he was overseas or in another state.
He is also charged with aggravated identity theft charges based on the use of Medicare identification numbers of former patients to bill for medical services he claimed to have personally provided to them after they had died.
Dr. Ramirez has been a licensed practitioner in Texas since 1997.
The doctor has been charged in a 14-count indictment for the fraud charges based on an investigation which included several law enforcement agencies including the Texas Attorney General's Office led by Abbott, the U.S. Attorney Kenneth Magdison, the FBI and Health and Human Services of Inspector General.
The charges include nine counts of health care fraud, three counts of mail fraud and two counts of aggravated identity theft. Agents and officers of the Coastal Bend Healthcare Fraud Task Force arrested Dr. Ramirez on October 11.
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