A Robstown doctor who was arrested in Oct. on charges in a 14-count indictment for a scheme to defraud Medicare and Medicaid through fraudulent billings that amounted in $1.4 million, now faces up to 20 years in prison.
On Tuesday, Feb. 18, Ramirez was convicted for the charges that from May 2008 through Dec. 2011, Dr. Roque Joel Ramirez submitted approximately 4,970 false and fraudulent bills to Medicare and Medicaid, amounting to over $1.4 million, billing for medical services he claimed to have personally provided to patients who died prior to the dates of his claimed services, and for medical services he claimed to have personally provided to patients in Texas while he was overseas or out of town.
According to the prosecution, Dr. Ramirez had billed for medical services that would have required him to have personally worked more than 24 hours in a single work day.
The FBI, the U.S. Department of Health and Human Services-Office of Inspector General, and the Texas Attorney Generalís Medicaid Fraud Control Unit, partners of the Coastal Bend Healthcare Fraud Task Force, conducted the investigation that eventually lead to the charges against Dr. Ramirez and to his Oct. arrest.
On Tuesday, Ramirez entered a guilty plea on one count of mail fraud, instead of proceeding with a trial. Until his sentencing hearing in May, Ramirez will remain free on bond.
Ramirez' office, the Calallen-based Health Resolutions Inc. is now closed.