Podiatrist pays $90,000 to settle false billing allegations

Source: United States Department of Justice News

HOUSTON – A 39-year-old Cypress man has agreed to pay to resolve allegations he submitted false claims for the placement of electro-acupuncture devices, announced U.S. Attorney Alamdar S. Hamdani.

Dr. Amr El-Khashab is a podiatrist who practices in Cypress and whom podiatrist Dr. Judith Rubin previously employed. From March 1, 2018, to Nov. 30, 2019, El-Khashab and Rubin billed Medicare for the surgical implantation of neurostimulator electrodes. These are invasive procedures usually requiring use of an operating room. Medicare pays thousands of dollars per procedure.

However, neither Rubin nor El-Khashab performed these surgical procedures. Instead, patients received devices used for electro-acupuncture, which only involves inserting needles into patients’ ears and taping the neurostimulator behind them with an adhesive. 

Rubin previously entered into an $865,000 settlement to address these allegations. 

To date, this is the ninth case the Southern District of Texas has resolved for similar conduct. The other matters included settlements with a Katy anesthesiologist, Houston pain doctor, Rockport chiropractor, Houston chiropractor, Laredo pain doctor, The Woodlands pain doctor and Cypress marketing representative.

The U.S. Attorney’s Office conducted the investigation with the Department of Health and Human Services – Office of Inspector General and Qlarant, the Unified Program Integrity Contractor for Medicare. Assistant U.S. Attorney Brad Gray handled the matter.

The claims resolved by the settlement are allegations only and there has been no determination of liability.

Florida Man with Ties to Mexican Drug Cartel Sentenced to Prison for Possession with Intent to Distribute Eight Kilos of Methamphetamine

Source: United States Department of Justice News

Co-defendant Who Fled Police with Drugs Scheduled for Sentencing in Feb.

ALBANY, Ga. – A Haines City, Florida, resident with a lengthy criminal history and connections to a Mexican drug cartel was sentenced to prison for possession with intent to distribute approximately eight kilograms of methamphetamine resulting from an I-75 traffic stop in South Georgia.

James E. Freitas, 48, was sentenced to serve 360 months in prison to be followed by five years of supervised release by U.S. District Judge Louis Sands on Dec. 29, 2022, after he previously pleaded guilty to possession with intent to distribute methamphetamine. Co-defendant, Miguel L. Mora, 44, pleaded guilty to possession with intent to distribute methamphetamine on Aug. 12, 2022, and is scheduled to be sentenced on Feb. 2. There is no parole in the federal system.

“Individuals tied to criminal organizations trafficking large quantities of the most lethal controlled substances into our communities will face steep federal consequences for crimes which are contributing to the addiction and death of many Americans,” said U.S. Attorney Peter D. Leary. “Local, state and federal law enforcement teams are working to dismantle these cartels and hold the people associated with them responsible.”

“The sentencing of this reoffender is the result of the collaborative efforts between DEA and its law enforcement partners who work tirelessly to eliminate the distribution of the insidious drug methamphetamine,” said Robert J. Murphy, the Special Agent in Charge of the DEA Atlanta Field Division. “This defendant will now face serious time in prison.”

According to court documents, a Lowndes County Sheriff’s Office deputy attempted to conduct a routine traffic stop for a driving violation as Freitas was traveling on I-75 on July 11, 2019. Freitas was unable to provide identification and gave conflicting information. As Freitas was standing outside the vehicle talking with the deputy, Mora climbed into the front seat and drove away in the car. Mora drove the vehicle into a field and then fled on foot into the woods carrying a large bag. Mora was quickly apprehended; the bag that he carried from the car was searched and found to contain 8,099 grams of 97% pure methamphetamine with an estimated street value of $748,000. On the floorboard of the car, officers found a loaded .40 caliber semi-automatic pistol with an obliterated serial number possessed by Freitas.

A search warrant subsequently executed on Freitas’ cell phone found photos of the gun, plus text and WhatsApp instant messages detailing both defendants’ travel to and from Nashville, Tennessee, to purchase and transport methamphetamine to a third party in Florida. The WhatsApp messages were between Freitas, a member of a Mexican drug cartel, and higher-ranking leaders within the organization concerning the distribution of methamphetamine.

Freitas has a lengthy criminal history with prior felony drug convictions for possession and trafficking of controlled substances in Florida. Mora has a lengthy criminal history, with convictions in Arkansas and Florida, including a prior felony conviction for trafficking amphetamine.

DEA and Lowndes County Sheriff’s Office investigated the case.

Assistant U.S. Attorney Mike Morrison prosecuted this case.

Pennsylvania Man Pleads Guilty to a Felony For Actions During Jan. 6 Capitol Breach

Source: United States Department of Justice News

Defendant Used a Bike Rack to Intentionally Trip Officer

            WASHINGTON — A Pennsylvania man pled guilty today to the felony charge of assaulting a law enforcement officer during the breach of the U.S. Capitol on Jan. 6, 2021. His actions and the actions of others disrupted a joint session of the U.S. Congress convened to ascertain and count the electoral votes related to the presidential election.

            Mikhail Edward Slye, 32, of Meadville, Pennsylvania, pleaded guilty to the charge of assaulting, resisting, or impeding law enforcement officers, a felony which carries a statutory maximum sentence of up to eight years in prison. U.S. District Court Judge James E. Boasberg scheduled sentencing for April 4, 2023.

            Slye was arrested on September 30, 2022, in Meadville, PA.

            According to court documents, on Jan. 6, 2021, Slye used a bike rack barricade to intentionally trip an officer with the U.S. Capitol Police. The officer and his team were attempting to rescue another officer caught in the crowd on the North Side of the Capitol. As a result of being tripped, the officer fell down the stairs and suffered injuries to his hand, wrist, and lower body.

            Additionally, Slye illegally entered the Capitol twice – once, at 2:56 p.m., remaining for three minutes, and again at 3:05, exiting at 3:35. While in the Capitol, he moved throughout the Crypt area and other locations.

            This case is being prosecuted by the U.S. Attorney’s Office for the District of Columbia and the Department of Justice National Security Division’s Counterterrorism Section. Valuable assistance was provided by the U.S. Attorney’s Office for the Western District of Pennsylvania.

            The case is being investigated by the FBI’s Pittsburgh Field Office and its Erie Resident Agency, and the FBI’s Washington Field Office. Valuable assistance was provided by the U.S. Capitol Police and the Metropolitan Police Department.

            In the nearly 24 months since Jan. 6, 2021, close to 900 individuals have been arrested in nearly all 50 states for crimes related to the breach of the U.S. Capitol, including more than 275 individuals charged with assaulting or impeding law enforcement. The investigation remains ongoing. 

            Anyone with tips can call 1-800-CALL-FBI (800-225-5324) or visit tips.fbi.gov.

U.S. Attorney’s Office Collects Nearly $3.8 Million in Civil and Criminal Actions

Source: United States Department of Justice News

(PROVIDENCE) – U.S. Attorney Zachary A. Cunha announced today that the District of Rhode Island collected $3,769,390.83 in criminal and civil actions in Fiscal Year 2021, an approximately thirty-six percent increase over fiscal year 2020. Of this amount, $2,715,990.83 was collected in criminal cases and $1,053,400 was collected in civil actions

Additionally, the District of Rhode Island worked with other U.S. Attorney’s Offices and components of the Department of Justice to collect a further $6,998,789 in cases pursued jointly with these offices. Of this amount, $4,957.79 was collected in criminal cases and $6,993,831.56 was collected in civil actions.   

These figures primarily represent criminal restitution collections, criminal fines, and civil judgments.  The U.S. Attorneys’ Offices, along with the department’s litigating divisions, are responsible for enforcing and collecting civil and criminal debts owed to the U.S. and criminal debts owed to federal crime victims. The law requires defendants to pay restitution to victims of certain federal crimes who have suffered a physical injury or financial loss. While restitution is paid to the victim, criminal fines and felony assessments are paid to the department’s Crime Victims Fund, which distributes the funds collected to federal and state victim compensation and victim assistance programs.

Finally, the U.S. Attorney’s office in Rhode Island, working with partner agencies and divisions, collected $1,668,469 via asset forfeiture actions in FY 2021. Forfeited assets deposited into the Department of Justice Assets Forfeiture Fund are used to restore funds to crime victims and for a variety of law enforcement purposes.

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Middle District Of Florida U.S. Attorney’s Office Collects More Than $168 Million In Civil And Criminal Actions In Fiscal Year 2022

Source: United States Department of Justice News

Tampa, FL ― U.S. Attorney Roger B. Handberg announced today that the Middle District of Florida (MDFL) collected $168,330,189 related to criminal and civil matters in the fiscal year ending September 30, 2022 (FY 2022). Of that amount, $103,089,821 represents total collections in criminal and civil actions. Included in this amount is $43,048,067 recovered in its locally handled cases; $17,769,638 in criminal cases and $25,278,429.11 in civil cases

The MDFL’s Civil Division, led by Civil Chief Randy Harwell, recovered a total of $85,181,948 on behalf of federal agencies and programs in affirmative civil enforcement cases during the last fiscal year. This amount has two components. In addition to its efforts in local civil cases noted above, the district’s Civil Division also joins forces with other U.S. Attorney’s Offices and with the Department of Justice Civil Frauds Section to address fraud schemes and illegal practices extending beyond district boundaries. The MDFL’s Civil Division recovered an additional $59,903,519.32 in these jointly handled cases. 

Additionally, the district’s Asset Recovery Division, led by Chief Anita Cream, working with partner agencies, forfeited $65,240,368 from criminal and civil asset forfeiture actions completed in fiscal year 2022. Forfeited assets deposited into the Department of Justice Assets Forfeiture Fund are used to restore funds to crime victims and for a variety of law enforcement purposes. For instance, in FY 2022, more than $14 million forfeited in the MDFL in this and prior years was returned to victims of the criminal offenses upon which the forfeitures were based, and approximately $3 million was shared with federal, state, and local law enforcement agencies. The district anticipates that the vast majority of the more than $65 million forfeited in FY 2022 will be returned to crime victims.

“Every day, we work alongside our law enforcement partners, federal, state, and local agencies to enforce our nation’s laws and recover illicit money from convicted criminals who have exploited government programs through fraud and abuse,” said U.S. Attorney Roger B. Handberg. “We will continue to coordinate our efforts to protect taxpayer resources, help victims recover from their losses, and restore public trust.”

U.S. Attorneys’ Offices, along with the department’s litigating divisions, are responsible for enforcing and collecting civil and criminal debts owed to the U.S. and criminal debts owed to federal crime victims. The law requires defendants to pay restitution to victims of certain federal crimes who have suffered a physical injury or financial loss. While restitution is paid to the victim, criminal fines and felony assessments are paid to the department’s Crime Victims Fund, which distributes the funds collected to federal and state victim compensation and victim assistance programs.

The largest civil collections were from affirmative civil enforcement cases, in which the United States recovered government money lost to fraud or other misconduct or collected fines imposed on individuals and/or corporations for violations of federal health, safety, civil rights, or environmental laws. In addition, civil debts were collected on behalf of several federal agencies, including the U.S. Department of Housing and Urban Development, the U.S. Department of Health and Human Services, the Defense Health Agency, the Internal Revenue Service, the Small Business Administration, and the Department of Education. See below for MDFL significant civil case highlights.

Significant Affirmative Civil Enforcement Cases

 

United States ex rel. Haight v. Physician Partners of America, et al., Case No. 8:18-civ-267 (M.D. Fla.)

Four overlapping qui tam complaints were filed against a Tampa pain management practice and alleged that the practice paid physicians based on the volume or value of the physicians’ orders for urine drug testing in violation of the Stark Law and Anti-kickback Statute. The relators also alleged that practice group performed medically unnecessary urine drug testing because the orders were not based on the individual needs of each patient. In investigating these claims over the ensuing three years, we discovered that the practice group additionally had billed Medicare for fraudulent anesthesia claims at its surgery centers and had applied for a Paycheck Protection Program loan that it was not eligible to receive. Following extensive negotiations, we resolved all allegations in the qui tam complaints for $24.5 million. This settlement amount included a civil penalty in excess of $1 million imposed under FIRREA to address the PPP loan fraud allegations.

Press release: https://www.justice.gov/opa/pr/physician-partners-america-pay-245-million-settle-allegations-unnecessary-testing-improper

United States ex rel. Bomar v. Bayfront Medical Center, et al., Case no. 8:16-cv-3310-MSS-JSS (M.D. Fla.)

This qui tam case alleges that four area hospitals have defrauded Medicare through a complex scheme through bogus “paper” charitable contributions by the hospitals to local government organizations. These contributions are passed through the Florida Medicaid program which used them to seek matching funds from Medicare. The Medicare money was eventually paid to the hospitals and would have never been paid out, had the federal program realized the true nature of the contributions. In investigating this alleged scheme, we have discovered that many area hospitals could be engaged in the same conduct. We have settled our claims with two hospitals, finalizing a $5.5 million settlement with Naples Community Hospital in February 2022 and a $20 million settlement with the BayCare Hospital system in April 2022. 

Press releases: https://www.justice.gov/opa/pr/florida-s-nch-healthcare-system-agrees-pay-55-million-settle-common-law-allegations

https://www.justice.gov/opa/pr/florida-s-baycare-health-system-and-hospital-affiliates-agree-pay-20-million-settle-false

United States ex rel. Cancel v. Central Medical Systems, LLC, Case No. 6:14-civ-512-Orl-28TBS (M.D. Fla.) 

We intervened in this qui tam case in 2018 in order to pursue civil fraud claims against this central Florida supplier of durable medical equipment (DME) and its principals for, among other things, billing federal health programs for DME that was not provided.  Early in the case, we secured a freeze of the defendants’ assets under the Federal Debt Collection Procedures Act in light of a concern over the defendants’ circumvention of an administrative claims review process. The individual owner of the provider then filed a bankruptcy petition, which prompted litigation under a variety of provisions of the Bankruptcy Code. Eventually, the principal owner of the defendant provider, Trent Harley, was indicted and pled guilty to health care fraud offenses that overlap with the civil claims alleged in the qui tam complaint.  The civil claims in the qui tam complaint were ultimately settled in January 2022 for $600,000. In 2021, Mr. Harley was sentenced to serve fifteen months in federal prison for wire fraud offenses connected to the scheme.

Press release: https://www.justice.gov/usao-mdfl/pr/central-medical-systems-llc-alan-trent-harley-and-joan-harley-agree-pay-600k-settle