Owner of large home health company admits illegal kickbacks to 20 medical directors for referrals of Medicare patients

Romy Macaset Jr.,  owner of a home health care company, Home Bound Healthcare, Inc. of Illinois,  admitted in federal court today that he paid illegal kickbacks to procure referrals of elderly patients on Medicare. He acknowledged in a plea agreement that he retained and paid Medical Directors a monthly fee solely for the purpose of obtaining patient referrals, and not for medical services.  He also acknowledged that he used Medical Director agreements as a way to conceal the payment of kickbacks.

Between December 2006 and September 2014, Macasaet paid $789,327 in bribe payments to approximately 20 medical directors and as a result of the payments, Home Bound improperly sought and received Medicare reimbursements totaling several million dollars.

Macasaet, 47, of Homewood, pleaded guilty to one count of violating the Anti-Kickback Statute.  The conviction is punishable by up to five years in prison.  U.S. District Judge Samuel Der-Yeghiayan set sentencing for Feb. 15, 2017, at 10:30 a.m.

Macasaet and Home Bound also agreed to pay the United States $6.8 million to settle civil false claim and anti-kickback allegations, per the terms of a settlement agreement announced today.  The agreement settles claims that Home Bound and its subsidiaries violated the federal False Claims Act and Anti-Kickback Statute by obtaining referrals through illegal kickbacks that served as financial inducements for false certifications of eligibility for home health services, and by improperly submitting those false claims to Medicare for reimbursement.

Home Bound and the HHS Inspector General’s Office entered into a corporate integrity agreement to promote compliance with the directives of Medicare, Medicaid and other federal health care programs.  As part of the integrity agreement, Home Bound must establish a compliance program to develop and implement policies, procedures and practices designed to ensure compliance with the requirements of federal health care programs.

Jeffrey Newman represents whistleblowers but no one concerning this case