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$20M healthcare fraud conspiracy. Rouffe lives in the 5300 block of Park Place Circle in Boca Raton. BocaNewsNow.com reported last week that Delray Beach Chiropractor Richard Davidson plead guilty to healthcare scams and likewise faces ten years in prison. The United States Department of Justice Wednesday issued an advisory specifying that both cases become part of the”largest enforcement action in Department of Justice History. “” These defendants have been charged with sending mor than$ 6B in false and fraudulent claims to federal health care programs and personal insurers,”composed the DOJ,”including more than $4.5 billion linked to telemedicine, more than$845 million linked to drug abuse and treatment facilities or”sober homes,”
and more than $806 million connected to other health care
scams and unlawful opioid distribution plans throughout the country. More than 345 accuseds have been charged across 51 federal districts.” The Jonathan Rouffe Case United States Attorney Maria Chapa Lopez reveals that Jonathan Michael Rouffe (47, Boca Raton )has actually pleaded guilty to conspiracy to devote health care fraud. He faces an optimum penalty of 10 years in federal jail. A sentencing date has actually not yet been set. According to the plea arrangement, in 2018, Rouffe and his conspirators established a conglomerate of resilient medical equipment( “DME”)supply companies. During the creation of the companies, they lied to Medicare to secure billing privileges. The scheme involved positioning the business in the names of straw owners. By concealing their true ownership, the conspirators covertly acquired control of numerous business, which Medicare prohibits. This allowed the conspirators to send high volumes of unlawful DME claims while trying to evade law enforcement analysis. In one year, through the conglomerate, Rouffe and his conspirators submitted 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 obtain such high volumes of claims, the conspirators used kickbacks and kickbacks. Specifically, Rouffe and his conspirators illegally acquired thousands of DME claims from so-called “marketers.” The marketers, for their part, had created the claims under the guise of “telemedicine,” but no telemedicine had actually occurred. Rather, the “marketers” had actually bribed medical professionals to sign the DME brace orders that supported the claims. Rouffe and his conspirators paid millions to protect 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 says Dr. Richard Davidson of Delray Beach got in a guilty plea. He faces ten years in prison for medicare fraud. Dr. Jonathan Michael Rouffe( 47, Boca Raton, FL) and Dr. Richard Davidson(41, Delray Beach, FL)pleaded guilty in different cases to conspiracy to devote healthcare scams. Each faces an optimum charge of 10 years in federal prison. According to court files, Rouffe, Davidson, and other conspirators covertly controlled conglomerates of fraudulently established DME supply business. Throughout the conspiracies, the business submitted more than $31 million in prohibited DME claims to Medicare and the CHAMPVA, resulting in over $16 million in payments. The conspirators paid millions in kickbacks and kickbacks to get illegally signed doctors' orders for DME from so-called “online marketers,” who, for their part, had generated the signed medical professionals' orders utilizing aggressive telemarketing methods in performance with deceitful telemedicine including paid off medical professionals. 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 dedicate healthcare fraud, send incorrect declarations to Medicare, and break the federal Anti-Kickback statute, as well as other related charges. The indictment was unsealed with the defendants' arrests on September 9, 2020. According to the indictment, Truglia and Fernandez conspired to create and send deceptive claims to Medicare for medically unnecessary DME, utilizing aggressive telemarketing that targeted Medicare recipients, phony telemedicine encounters, and signed physicians' orders protected utilizing prohibited bribes and kickbacks. Through the conspiracy, Truglia and Fernandez caused the submission of roughly $25 countless deceitful claims to Medicare and other federal health care programs, including CHAMPVA, leading to payments of around $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>
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