Provista Well being, a Dallas-based hospice supplier, has been ordered to pay $26.3 million for billing Medicare for a wide range of medically pointless respiratory pathogen panel (RPP) checks that got to nursing properties throughout the pandemic, the Division of Justice introduced on Thursday.
On July 18, the U.S. District Court docket for the District of Maryland entered default judgments totaling the aforementioned quantity towards Provista and different laboratory corporations owned by Patrick Britton-Harr for violating the False Claims Act.
In a July 2023 grievance, the U.S. alleged that the RPP checks weren’t medically mandatory as a result of the beneficiaries had no signs of a respiratory sickness and since the checks have been for unusual respiratory pathogens.
The grievance additionally alleged that Britton-Harr and Provista submitted claims for RPP checks that have been by no means ordered by physicians and typically for RPP checks that have been by no means carried out, together with over 300 claims for nasal swab check samples that have been supposedly collected from beneficiaries who had already died.
Three People Sentenced To Jail For Promoting Pirated Enterprise Phone Software program
A married couple and a 3rd particular person have been sentenced to jail for promoting tens of 1000’s of pirated enterprise phone system software program licenses with a retail worth of over $88 million, the DOJ mentioned.
Raymond Bradley “Brad” Pearce, 48, of Tuttle, Oklahoma, a pc system administrator, was sentenced on Thursday to 4 years in jail and ordered to pay $4 million. In June, Dusti O. Pearce, 46, his spouse who additionally lives in Tuttle, was sentenced to 1 12 months and a day in jail and was ordered to pay $4 million.
Jason M. Hines, 44, of Caldwell, New Jersey, obtained an 18-month jail sentence and one other 18 months of dwelling confinement and was ordered to pay $2 million.
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The trio, who pleaded responsible to conspiracy to commit wire fraud in 2023, will even pay restitution as follows: $17 million for Brad Pearce, $10 million for Dusti Pearce and greater than $5 million for Hines.
The Pearces conspired with Hines to commit wire fraud in a scheme that concerned making and promoting unauthorized Avaya Direct Worldwide (ADI) software program licenses used to unlock functionalities of the IP Workplace phone system.
Avaya Holdings Company, a California-based worldwide enterprise communications firm that offered IP Workplace, additionally offered software program licenses that unlocked IP Workplace’s capabilities.
Brad Pearce, a customer support worker at Avaya, used his system administrator privileges to generate tens of 1000’s of ADI software program license keys that he illegally offered to Hines and different clients, who in flip offered them to resellers and finish customers worldwide.
He additionally hijacked the accounts of former Avaya workers to make extra license keys, concealing the general scheme by altering info on the accounts, whereas Dusti Pearce served because the unlawful operation’s accountant.
Physician Faces Years In Jail For Illegally Distributing Managed Substances, Defrauding Well being Care Profit Packages
A federal jury convicted a Louisiana doctor yesterday for conspiring to illegally distribute over 1.8 million doses of Schedule II managed substances, together with oxycodone and morphine, and for defrauding well being care profit applications of greater than $5.4 million, the DOJ mentioned on Tuesday.
In line with court docket paperwork, Adrian Dexter Talbot, 58, owned and operated Medex Scientific Consultants in Slidell, Louisiana, that accepted money funds for managed substances.
Talbot ignored indicators that people frequenting Medex have been drug-seeking or abusing the medication prescribed.
In 2015, he left pre-signed prescriptions for opioids and different managed substances at his clinic in order that people who by no means noticed him may purchase the medication whereas he was working a full-time job in Pineville.
In 2016, he employed one other practitioner who additionally pre-signed prescriptions to be distributed in the identical method on the Slidell clinic in trade for money deposited into the Medex account.
Talbot falsified affected person data to cowl up the scheme, through which people used insurance coverage advantages to fill prescriptions. This resulted in fraudulent billing to well being care profit applications as a result of prescriptions have been written and not using a correct affected person examination or willpower of medical necessity.
He faces as much as 10 years in jail for conspiracy to commit well being care fraud and 20 years in jail for the opposite counts.
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