December 15, 2014

Alaska and Virginia-based technology contractors Eyak Technology LLC and Eyak Services LLC agreed to pay $2.5M to settle charges of alleged False Claims Act and Anti-Kickback Act violations. According to the government, from 2005 to 2011 EyakTek held a $1 billion prime contract with the U.S. Army Corps of Engineers and EyakTek’s then-director of contracts, Harold Babb, accepted kickbacks from several subcontractors of EyakTek and ESL in return for using...

December 2, 2014

Luis Duluc, a Florida owner and operator of multiple physical therapy rehabilitation facilities, was sentenced to serve 11 years in prison for his role in organizing a $28.3M Medicare fraud scheme involving physical and occupational therapy services. Duluc was chairman and president of a Delaware holding company known as Ulysses Acquisitions Inc. which was used to purchase comprehensive outpatient rehabilitation facilities and outpatient physical therapy providers, including West Coast Rehab...

November 17, 2014

New York environmental remediation firm Sevenson Environmental Services Inc. agreed to pay more than $2.7M to resolve allegations it violated the False Claims Act and the Anti-Kickback Act by accepting kickbacks, rigging bids and passing inflated charges to the US Environmental Protection Agency (EPA) in connection with work performed at the Federal Creosote Superfund Site in Manville, New Jersey. According to the government, Sevenson solicited and accepted more than $1.6M...

November 14, 2014

Detroit-area physician Dr. Rajesh Doshi pleaded guilty for orchestrating — through his medical practice Home Physicians Services— the submission of fraudulent claims for physician home visits as part of a $19M home health care fraud scheme. According to his plea agreement, Dr. Doshi admitted that between October 2005 and September 2012, he conspired with others to commit health care fraud by referring Medicare beneficiaries for home health care that was...

November 13, 2014

Five South Florida residents, Dennis Hernandez, Juan Valdes, Jose Alvarez, Joel San Pedro and Alina Hernandez, pleaded guilty to a long-running $6.2M Medicare fraud scheme involving Miami home health care agency Professional Medical Home Health LLC that purported to provide home health and therapy services. According to admissions in their plea agreements, the defendants through Professional Home Health billed Medicare for expensive physical therapy and home health services that were...

November 13, 2014

Ramon Regueira, owner of Miami home health care company Nation’s Best Care Home Health Corp., pleaded guilty for his role in a $30M home health Medicare fraud scheme. Regueira admitted that he and his co-conspirators operated Nation’s Best for the purpose of billing the Medicare program for expensive physical therapy and home health care services not medically necessary or provided. Specifically, Regueira admitted he and his co-conspirators paid kickbacks and...

November 6, 2014

Medical device maker Biotronik Inc. agreed to pay $4.9M to resolve allegations it violated the False Claims Act by paying kickbacks to induce physicians to use its products. Specifically, the government charged that Biotronik induced electrophysiologists and cardiologists practicing in Nevada and Arizona to use Biotronik pacemakers, defibrillators and cardiac resynchronization therapy devices by paying them in the form of repeated meals at expensive restaurants and inflated payments for membership...

November 5, 2014

Elsa Ruiz, the owner and administrator of the Miami home health care companies Professional Home Care Solutions Inc. and LTC Professional Consultants Inc., was sentenced to serve 80 months in prison and pay $45M in restitution for her participation in a $74M Medicare fraud scheme. According to admissions during her plea hearing, Ruiz and her co-conspirators operated LTC and Professional Home Care for the purpose of billing the Medicare program...

October 29, 2014

Medical device maker EBI LLC, doing business as Biomet Spine and Bone Healing Technologies and Biomet Inc., agreed to pay $6M to resolve allegations it violated the False Claims Act by paying kickbacks to induce use of its bone growth stimulators, which are used to repair fractures that are slow to heal. Specifically, the government alleged that from 2001 to 2008 EBI paid staff at doctors’ offices (through personal service...

October 22, 2014

Tayyab Aziz, founder of three Detroit-area home health agencies Prestige Home Health Services Inc., Royal Home Health Care Inc., and Platinum Home Health Services Inc. pleaded guilty for his role in a $22M home health care fraud scheme. Specifically, Aziz admitted he and his co-conspirators submitted fraudulent claims to Medicare for services that were medically unnecessary or never performed. They also submitted claims for services purportedly provided to Medicare beneficiaries...