30September 2020
Plea Part Of Massive Fraud Investigation That Also Led To Delray Chiropractor Richard Davidson Facing 10 Years In Prison. Parkland's Patsy Truglia Charged.
prison following a guilty plea in a$20M healthcare fraud conspiracy. Rouffe lives in the 5300 block of Park Place Circle in Boca Raton. BocaNewsNow.com reported recently that Delray Beach Chiropractor Richard Davidson plead guilty to healthcare fraud and likewise faces 10 years in jail. The United States Department of Justice Wednesday provided an advisory stating that both cases are part of the”largest enforcement action in Department of Justice History. “” These accuseds have actually been charged with submitting mor than$ 6B in false and deceitful claims to federal health care programs and personal insurance companies,”composed the DOJ,”including more than $4.5 billion connected to telemedicine, more than$845 million connected to substance abuse and treatment centers or”sober homes,”
and more than $806 million linked to other healthcare
fraud and illegal opioid distribution plans throughout the nation. More than 345 offenders have actually been charged throughout 51 federal districts.” The Jonathan Rouffe Case United States Attorney Maria Chapa Lopez reveals that Jonathan Michael Rouffe (47, Boca Raton )has pleaded guilty to conspiracy to dedicate healthcare scams. He deals with a maximum penalty of 10 years in federal jail. A sentencing date has not yet been set. According to the plea agreement, in 2018, Rouffe and his conspirators developed a corporation of durable medical equipment( “DME”)supply business. During the creation of the business, they lied to Medicare to secure billing opportunities. The plan involved positioning the companies in the names of straw owners. By concealing their real ownership, the conspirators covertly acquired control of numerous companies, which Medicare forbids. This made it possible for the conspirators to submit high volumes of unlawful DME claims while attempting to evade police analysis. In one year, through the conglomerate, Rouffe and his conspirators sent more than $20 million in illegal DME claims, leading to over $10 million in payments from Medicare and the Civilian Health and Medical Program of the Department of Veterans Affairs (“CHAMPVA”).
To attain such high volumes of claims, the conspirators used allurements and kickbacks. Particularly, Rouffe and his conspirators illegally purchased thousands of DME claims from so-called “online marketers.” The online marketers, for their part, had created the claims under the guise of “telemedicine,” however no telemedicine had actually taken place. Rather, the “marketers” had bribed doctors to sign the DME brace orders that supported the claims. Rouffe and his conspirators paid millions to secure the prohibited DME claims for submission to Medicare and CHAMPVA.
DOJ Statement, Issued Wednesday, Regarding Both Rouffe and Richard Davidson of Delray Beach:
 100vw, 178px” data-recalc-dims=”1″/></p><figcaption> The United States Dept. of Justice states Dr. Richard Davidson of Delray Beach got in a guilty plea. He deals with 10 years in jail for medicare scams. Dr. Jonathan Michael Rouffe( 47, Boca Raton, FL) and Dr. Richard Davidson(41, Delray Beach, FL)pleaded guilty in separate cases to conspiracy to commit healthcare scams. Each deals with a maximum charge of 10 years in federal prison. According to court documents, Rouffe, Davidson, and other conspirators secretly managed corporations of fraudulently developed DME supply companies. During the conspiracies, the companies sent more than $31 million in prohibited DME declares to Medicare and the CHAMPVA, leading to over $16 million in payments. The conspirators paid millions in kickbacks and allurements to obtain unlawfully signed medical professionals' orders for DME from so-called “online marketers,” who, for their part, had actually produced the signed physicians' orders using aggressive telemarketing techniques in concert with deceitful telemedicine involving bribed physicians. The cases are being prosecuted by Assistant United States Attorney Kristen A. Fiore</p>
<p><strong>Parkland's Patsy Truglia Charged</strong></p>
<p><strong>Patsy Truglia </strong>(52, Parkland, FL)<strong>and Ruth Bianca Fernandez (37, Lauderhill, FL) were charged in a 13-count indictment declaring a conspiracy to defraud Medicare and to commit healthcare scams, submit incorrect declarations to Medicare, and break the federal Anti-Kickback statute, as well as other associated charges. The indictment was unsealed with the accuseds' arrests on September 9, 2020. According to the indictment, Truglia and Fernandez conspired to develop and submit fraudulent claims to Medicare for clinically unneeded DME, using aggressive telemarketing that targeted Medicare recipients, phony telemedicine encounters, and signed doctors' orders protected using prohibited allurements and kickbacks. Through the conspiracy, Truglia and Fernandez triggered the submission of around $25 million of fraudulent claims to Medicare and other federal health care programs, including CHAMPVA, resulting in payments of approximately $10 million from the programs. The case was charged by Assistant U.S. Attorney Kristen Fiore and is being prosecuted by Assistant U.S. Attorney Jay G. Trezevant.</p>
<div class=)