FOR IMMEDIATE RELEASE CIV FRIDAY, MAY 23, 1997 (202) 616-2765 TDD (202) 514-1888 TEXAS FIRM WILL PAY U.S. $1.3 MILLION TO SETTLE FRAUD CASE IN CONTINUING FEDERAL INVESTIGATION OF HEALTH PUMP INDUSTRY WASHINGTON, D.C. -- A durable medical equipment supplier and its president will pay the United States $1,350,000 to settle allegations the company submitted false claims to the Medicare program for payment of lymphedema pumps and sleeves, the Department of Justice announced today. Jalopy Shoppe Inc., doing business as Mediserv Inc., of Sherman, Texas, and its president, Jimmy E. Mefaffey, misrepresented to Medicare the product it was selling in order to obtain an inflated reimbursement amount from Medicare, according to Assistant Attorney General Frank Hunger of the Civil Division. "We will not tolerate fraud in the health care area, especially when it affects a key government program like Medicare," said Hunger. "All those who participate in the Medicare program should know that we intend to vigorously investigate and prosecute even the slightest hint of fraud." Mediserv sells pneumatic compressors, and sleeves used with the compressors, to Medicare beneficiaries for home use. The Department said Mediserv submitted claims to Medicare using a procedure code that is reserved for compressors that are segmental and that have calibrated gradient pressure, a standard that the pumps Mediserv actually sold did not meet. Medicare, based on Mediserv's claims, reimbursed the company approximately $3,500 per pump when the pump Mediserv sold to patients insured under Medicare cost less than $650. "This settlement is part of a larger nationwide investigation of the lymphedema pump industry that has been ongoing for some time," Hunger said. "The Civil Division and United States Attorney's offices around the country have resolved numerous cases of inflated billing and other abuses by suppliers of lymphedema pumps. "We will continue to pursue those persons who defraud the Medicare program," he said. The settlement with Mediserv resolves a qui tam action, United States ex rel. Wells v. Huntleigh Technology PLC, et al., as against Mediserv, which is pending in U.S. District Court in Newark, New Jersey. The relator, Ronald Wells, will receive $243,000 of the government's recovery. ##### 97-217