Wednesday, March 10, 2021
On February 4, 2021, the Department of Justice (“DOJ”), Office of Public Affairs, issued a Press Release (the “DOJ Press Release”) announcing that Kelly Wolfe, President of Regency, Inc., a medical billing company located in Florida, pleaded guilty to conspiracy to commit healthcare fraud through a “pernicious telefraud scheme”[1] involving fraudulent Medicare and CHAMPVA (Civilian Health and Medical Program of the Department of Veterans Affairs) claims for medically unnecessary durable medical equipment (“DME”) supplies. As a result of Wolfe’s criminal plea, Wolfe could face up to 13 years in federal prison.
In addition to her criminal plea, Wolfe and Regency agreed to a civil settlement of up to $20,332,516 to resolve allegations that Wolfe and her co-conspirators violated the federal False Claims Act and the federal Anti-Kickback Statute by bribing physicians to write prescriptions for DME supplies based upon non-exist
TLU baseball takes two of three from Southwestern, Irby named SCAC Hitter of the Week
(Seguin) – The Texas Lutheran baseball team opened a weekend non-conference series against Southwestern with a 12-7 win at Katt-Isbel Field Friday before splitting the final two games in Georgetown with a 14-3 win and an 11-8 loss.
Senior first baseman Cole Irby was named the Southern Collegiate Athletic Conference Hitter of the Week for his performance in the series and last Tuesday’s win over Mary Hardin Baylor. Irby hit .647 (11-17) with eight RBIs in four games last week, and had at least two hits in each game.
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The U.S. Department of Health and Human Services Office of Inspector General recognized telehealth s potential while cautioning that steps must be taken to ensure virtual care will not be compromised by fraud.
OIG Principal Deputy Inspector General Christi A. Grimm wrote in a statement on Friday that the quick pivot to telemedicine amidst the COVID-19 pandemic makes oversight, transparency, accountability and program integrity all the more important. OIG is conducting significant oversight work assessing telehealth services during the public health emergency. Once complete, these reviews will provide objective findings and recommendations that can further inform policymakers and other stakeholders considering what telehealth flexibilities should be permanent, wrote Grimm.
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The U.S. Department of Justice announced earlier this month that an Indian Rocks Beach, Florida-based woman has pleaded guilty to conspiracy to commit healthcare fraud and filing a false tax return.
Kelly Wolfe and her company, Regency, Inc., have also agreed to pay up to $20.3 million to resolve allegations that they violated the False Claims Act.
Among the allegations are that Wolfe and her conspirators submitted well over $400 million in illegal durable medical equipment claims to Medicare and the Civilian Health and Medical Program of the Department of Veterans, relying on the guise of telemedicine to explain the unusually high volume of claims.
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