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Texas clinic uses fake tests, unlicensed doc in $5.9M plot

November 07, 2018, Houston, TX — A clinic owner who orchestrated a $5.9 million Medicare fraud with fake tests and an unlicensed doctor was sentenced Wednesday in Houston to serve three years in federal prison.

U.S. District Judge Kenneth M. Hoyt handed down the sentence to Joy Aneke, 51, of Katy who was convicted of recruiting Medicare patients and billing them at her clinics for expensive tests that were neither medically necessary or performed. The judge ordered the clinic owner to pay $2.76 million in restitution to the federal health care program.


U.S. District Judge Kenneth M. Hoyt handed down the sentence to Joy Aneke, 51, of Katy who was convicted of recruiting Medicare patients and billing them at her clinics for expensive tests that were neither medically necessary or performed. The judge ordered the clinic owner to pay $2.76 million in restitution to the federal health care program.

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In addition, she was sentenced to three years of supervised release. Hoyt allowed Aneke to remain free on bond until she reports to U.S. Bureau of Prisons authorities.

Aneke pleaded guilty on May 16 to conspiracy to commit health care fraud at Jadac Unique Health Services, Almeda Physicians Clinic and the home health agency Community Joyful Home Health that operated in Harris and Fort Bend Counties. Two other employees entered identical pleas to conspiracy charges in April, admitting they helped operate the government fraud.

Documents indicated the clinic had provided costly exams including allergy tests, complex bladder, anal tests and urinary muscle studies.

However, an investigation showed the clinics did not have the equipment to provide such services. Aneke admitted in court she had instructed employees to create fake patient records to increase the reimbursements that Medicare would provide and told her office manager to pay illegal kickbacks to patients through recruiters. She admitted her business had billed Medicare $5,963,675 for diagnostic tests which were never performed or medically necessary. Medicare issued payments of $2,760,646 on the false claims, according to court documents.

Teodoro Seminario, 51, an unlicensed Houston doctor working as a medical assistant who was known to patients as “Dr. Ted,” was sentenced last week to three years on probation and six months of lelectronic ion monitoring. And Maureen Henshall, of Highlands, an office manager patients called “Ms. Mo,” 62, was also sentenced last week to three years' probation and six months on location monitoring.

Henshall previously admitted in court she had falsified patient records at Aneke’s request and paid recruiters to bring in Medicare patients for fake tests that didn’t actually happen.

Seminario who acted as the medical professional for the Jadac clinic, examined, assessed and treated patients even though he is not a licensed medical professional in Texas. Nevertheless, Aneke’s clinic billed for Seminario’s services as if he was a licensed professional.

Source: Chron

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