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Texas Hospital Administrator Sentenced to 10 Years for $16 Million Medicare Fraud Scheme
A Houston, Texas-area hospital administrator has been sentenced to 10 years in prison for his role in a $16 million Medicare fraud scheme involving partial hospitalization programs.
Starsky Bomer, 46, of Houston, Texas, was sentenced by U.S. District Judge Vanessa Gilmore of the Southern District of Texas to 10 years in prison for his role in the scheme, and ordered the defendant to pay $6,277,575.77 in restitution and to forfeit $158,260.
According to evidence presented at trial, from 2011 until February 2013, Bomer and his co-conspirators engaged in a scheme to defraud Medicare by submitting to Medicare, through Atrium Medical Center (Atrium) and Pristine Healthcare (Pristine), approximately $16 million in false and fraudulent claims for partial hospitalization program (PHP) services.
A PHP is a form of intensive outpatient treatment for severe mental illness. The evidence presented at trial showed that Bomer, the hospitals’ chief financial officer and chief operating officer, orchestrated a scheme by which he and others paid illegal bribes and kickbacks to group home owners and patient recruiters in exchange for sending Medicare patients to Atrium and Pristine’s PHPs.
Bomer disguised bribes and kickbacks as salary payments and transportation payments to group home owners in exchange for patient referrals. In addition, evidence presented at trial showed that Bomer knew that many of the patients admitted to Atrium and Pristine’s PHPs did not qualify for and were never provided legitimate partial hospital services.
This case was investigated by the FBI, HHS-OIG and the Texas Attorney General’s MFCU. Assistant Chief Aleza Remis and Trial Attorneys Jason Knutson and Gerald M. Moody, Jr. of the Criminal Division’s Fraud Section prosecuted the case.
Key Facts
- State: Texas
- Category: Fraud & Financial Crimes
- Source: DOJ Press Release â†â€â€
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