Skip to Content

Tag: False Claims Act


News

Billing expert pleads guilty in fraud scheme

February 18, 2021HME News Staff

TAMPA, Fla. – Kelly Wolfe, president of Regency Inc., a medical billing company, has agreed to plead guilty to criminal health care and tax fraud, and to pay $20.3 million in a civil False Claims Act settlement.  Wolfe, of Indian Rocks Beach, Fla., faces a maximum penalty of 13 years in federal prison.  Wolfe and her conspirators used Regency to establish dozens of DME shell companies, placing the shell companies in the names of straw...

False Claims Act, Home Medical Equipment, Kelly Wolfe, Operation Brace Yourself


Read Full Articlered right arrow icon

Also Noted

Lincare pays $5.25M to resolve allegations

August 21, 2018HME News Staff

CLEARWATER, Fla. - Lincare has paid $5.25 million to resolve allegations that it violated the federal False Claims Act and the Anti-Kickback Statute by offering illegal price reductions to Medicare beneficiaries, according to the U.S. Attorney's Office for the Southern District of Illinois. The government alleged that, from 2011 to 2017, Lincare attempted to gain a competitive advantage in the market by unlawfully waiving or reducing co-insurance, co-payments and deductibles for beneficiaries who...

Anti-Kickback Statute, False Claims Act, lincare, settlement


Read Full Articlered right arrow icon

Providers

Rotech agrees to pay $9.68M

April 13, 2018HME News Staff

CLEARWATER, Fla. - Rotech Healthcare has agreed to pay $9.68 million for submitting false claims for portable oxygen contents to Medicare, according to an April 12 press release from the Department of Justice.As part of the settlement, Rotech admitted to billing portable oxygen contents to Medicare for beneficiaries who did not use or require them. Additionally, the company admitted to billing Medicare regardless of whether such contents were delivered, the release states.“This settlement serves...

False Claims Act, lawsuit, Rotech, settlement, whistleblower


Read Full Articlered right arrow icon

Specialty Providers

Sleep clinic agrees to pay $2.6M for dual role

December 30, 2016HME News Staff

SAN JOSE, Calif. - Bay Sleep Clinic and its related businesses have agreed to pay $2.6 million to settle allegations that they were involved in both the diagnosis and treatment of sleep patients, a violation of Medicare rules and regulations.The government charged Bay Sleep Clinic and its related businesses—Qualium Corp., which operates 20 sleep clinics, and Amerimed Corp., which does business as Amerimed Sleep Diagnostics and Amerimed CPAP Specialist—with fraudulently billing Medicare...

False Claims Act, settlement, sleep therapy


Read Full Articlered right arrow icon

Also Noted

Whistleblower drops lawsuit against Lincare

November 4, 2016HME News Staff

CLEARWATER, Fla. - A former billing specialist has voluntarily dropped her False Claims Act lawsuit against Lincare, according to Law360. In a one-page order, U.S. District Judge Mary Scriven granted Rebecca Saiff's request to dismiss the lawsuit, a request that was granted without prejudice to either Saiff or the U.S. government, which declined to intervene, according to the legal publication. Saiff had filed a lawsuit alleging that Lincare has been knowingly defrauding the government of millions...

False Claims Act, lincare, whistleblower lawsuit


Read Full Articlered right arrow icon

Specialty Providers

National contract supplier to pay $12M settlement

September 8, 2016HME News Staff

NEWARK, N.J. - U.S. Healthcare Supply, a national contract supplier for mail-order diabetes supplies, and two of its executives have agreed to pay the government more than $12.2 million to resolve allegations that they violated the False Claims Act.The settlement resolves allegations that U.S. Healthcare Supply and Oxford Diabetic Supply, both based in Milford, N.J., set up and controlled a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries to sell them DME. The companies...

False Claims Act, settlement, U.S. Healthcare Supply


Read Full Articlered right arrow icon

News

National contract supplier to pay $12M settlement

September 8, 2016HME News Staff

NEWARK, N.J. - U.S. Healthcare Supply, a national contract supplier for mail-order diabetes supplies, and two of its executives have agreed to pay the government more than $12.2 million to resolve allegations that they violated the False Claims Act.The settlement resolves allegations that U.S. Healthcare Supply and Oxford Diabetic Supply, both based in Milford, N.J., set up and controlled a fictitious entity to make unsolicited telephone calls to Medicare beneficiaries to sell them DME. The companies...

False Claims Act, settlement, U.S. Healthcare Supply


Read Full Articlered right arrow icon

Providers

Whistleblower details alleged fraud at Lincare

July 12, 2016HME News Staff

CLEARWATER, Fla. - A former employee says Lincare has been knowingly defrauding the government of millions of dollars by allegedly billing false claims to Medicare.“(Lincare) has engaged in a scheme to wrongfully enrich itself at taxpayers' expense by fraudulently billing Medicare for equipment rental for which either the patients or the equipment were not reimbursable by Medicare, by failing to provide services to patients it was obligated to provide, and by retaining overpayments to which...

False Claims Act, Fraud, lincare, whistleblower lawsuit


Read Full Articlered right arrow icon

Vendors

Respironics to pay $34.8M over re-supply program

March 23, 2016HME News Staff

MURRYSVILLE, Pa. - Philips Respironics has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks to DME providers that bought its CPAP masks, the Department of Justice has announced.The government alleges that from April 2012 to November 2015 Respironics waved the per-patient per-month fee for its medSage automated resupply services for DME providers that bought the company's masks. If they used a competitor's masks, the company charged a fee.“The payment...

Anti-Kickback Statute, CPAP masks, False Claims Act, lawsuit, re-supply, respironics


Read Full Articlered right arrow icon

Specialty Providers

Liberator to finalize settlement agreement

December 23, 2015HME News Staff

STUART, Fla. - Liberator Medical Holdings has entered a definitive agreement to settle all allegations related to a complaint that it had violated the False Claims Act, it announced Dec. 22.Liberator previously announced it had reached an agreement in principle to settle the allegations in a civil qui tam complaint. The mail order provider will pay $500,000, along with its share of the plaintiffs' legal expenses, according to a press release.Liberator was accused of engaging in illegal kickback arrangements...

Coloplast, False Claims Act, liberator medical


Read Full Articlered right arrow icon