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As predicted, health care fraud enforcement under the False Claims Act (“FCA”) continues to be a top priority for the Department of Justice (“DOJ”). In fiscal year 2021, the DOJ...
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 W...
11:47 AM 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 t...
Businesswoman Pleads Guilty to Criminal Health Care and Tax Fraud Charges Details Written by Justice Department Washington, DC - A Florida businesswoman has agreed to resolve criminal charges and civil claims arising out of false claims to the United States for braces and other durable medical equipment (DME), the Justice Department announced Thursday. Kelly Wolfe, of Indian Rocks Beach, Florida, has pleaded guilty to conspiracy to commit health care fraud and filing a false tax return. She faces a maximum penalty of 13 years in federal prison. A sentencing date h...
Friday, February 5, 2021 On February 4, 2021, the Department of Justice (“DOJ”) announced a settlement of allegations of Medicare Fraud brought by a qui tam relator under the False Claims Act (“FCA”) related to “Operation Brace Yourself.” This case is a shining example of how laws that incentivize whistleblowers can help uncover large frauds. The False Claims Act is an essential tool for the detection and successful prosecution of fraud and corruption. The whistleblower lawsuit alleged that Kelly Wolfe, a Florida businesswoman, and her company Regency Inc. (“Regenc...