ABSTRACT

Rockwall is a small city in Texas, near Dallas. It was an ordinary small town, until the national news broke about one of its respected physicians. Dr. Jacques Roy was noticed to submit by far the most Medicare claims in the nation for home health services. Further investigation showed that Roy’s office handled more home health care visits from January 2006 to November 2011 than any other physician’s office in the country. As it was put by an Assistant U.S. Attorney during the trial, “A doctor cannot care for 11,000 patients at once.”