Medicaid Law
 
United States of America v. Kenneth Nash

Grand Rapids, Michigan health care fraud charge criminal defense lawyer represented Defendant, Kenneth Nash, the owner of a South Haven home health agency, who was health care fraud. He admitted that his company, Universal Home Health Care, submitted claims for home health services totaling more than $750,000 when no physician had approved the services but, instead, employees forged physician sign... More...   $0 (02-21-2021 - MI)

United States of America v. Patrick Wolfe

Savannah, GA - Bribery charge criminal defense lawyer represented Defendant, Patrick Wolfe, 48, of Belleair Beach, Fla., the operator of Wilmington Island Medical Inc., which does business as WI Medical Inc., was wiht one count of Conspiracy.

“After ripping off taxpayer-provided health care benefits to fuel his own greed, Patrick Wolfe had the audacity to flaunt his ill-gotten gains b... More...
   $0 (02-14-2021 - GA)

United States of America v. Morris Brown, M.D.

Columbus, Ohio drug distribution charge criminal defense lawyer represented Defendant, Morris Brown, M.D., age 73, who was charged with illegally distributing opioids.

Brown was charged in an April 2019 indictment along with four co-defendants: Ismail Abuhanieh, 50, of Phoenix, Arizona; Mahmoud Elmiari, 44, of Bellbrook, Ohio; Yohannes Tinsae, 48, of Beavercreek, Ohio; and Mahmoud Rifai,... More...
   $0 (02-09-2021 - OH)

United States of America v. Julie M. Wheeler

Beckley, West Virginia conspiracy to obstruct justice criminal defense lawyer represented Defendant, Julie M. Wheeler, who was charged with conspiracy to obstruct justice for trying to fake her death to avoid being sentenced to health care fraud.

“Julie Wheeler faked a traumatic death to avoid her judgment day with the courts. While she was found hiding in a closet she was also hiding f... More...
   $0 (02-05-2021 - WV)

Caitlyn Metz v. State of Tennessee

Nashville, TN - Criminal defense attorney represented Caitlyn Metz with a first-degree felony murder, aggravated child abuse, and aggravated child neglect in the death of her twenty-three-month-old son.



The victim in this case was Petitioner’s twenty-three-month-old son. CoDefendant was indicted for aggravated child abuse;... More...
   $0 (01-26-2021 - TN)

Caitlyn Metz v. State of Tennessee

Nashville, TN - Criminal defense attorney represented Caitlyn Metz with first-degree felony murder, aggravated child abuse, and aggravated child neglect charges.




The victim in this case was Petitioner’s twenty-three-month-old son. CoDefendant was indicted for aggravated child abuse; first degree felony murder committed... More...
   $0 (01-16-2021 - TN)

United States of America v. Shaffer Pharmacy, Thomas Tadsen and Wilson Bunton

Cleveland, Ohio Controlled Substance Act Violation lawyer represented Shaffer Pharmacy, Thomas Tadsen and Wilson Bunton who were alleged to have improperly dispensed opioids and other controlled substances.

The government alleged that Shaffer Pharmacy, its pharmacist owner Thomas Tadsen, and pharmacist Wilson Bunton repeatedly dispensed opioids and other controlled substances in violation... More...
   $0 (01-15-2021 - OH)

United States of America v. Michael Don Robertson

Anchorage, Alaska criminal defense health care fraud lawyer represented Dr. Michael Don Robertson, age 68, a former Anchorage psychiatrist, was charged with conspiracy to commit controlled substance fraud and one count of health care fraud. Robertson knowingly and intentionally distributed controlled substances outside the usual course of professional practice and without a legitimate medical pur... More...   $0 (01-09-2021 - AK)

United States of America v. James P. Anderson, M.D., Affiliated Neurologists, PLC; Charles F. Spencer, D.C., Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness; and Mitchell P. Shea, D.C., Chiro2Med of Tennessee P.C.

Nashville, Tennessee false claims action lawyers represented James P. Anderson, M.D., Affiliated Neurologists, PLC; Charles F. Spencer, D.C., Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness; and Mitchell P. Shea, D.C., Chiro2Med of Tennessee P.C. who were accused of improper billing for electro-acupuncture using a peri-auricular stimulation device known as “P-Stim” th... More...   $0 (01-07-2021 - TN)

United States of America v. Dr. Moses deGraft-Johnson

Tallahassee, Florida Criminal Defense Health Care Fraud Lawyer

Dr. Moses deGraft-Johnson, a dual citizen of the United States and Ghana, was charged with committing health care fraud, conspiracy to commit health care fraud, and aggravated identity theft.

Over the course of almost four years, beginning in late 2015 or early 2016 until his arrest in February 2020, deGraft-Johnson... More...
   $0 (12-28-2020 - FL)

United States of America v. Elizabeth Korcz, M.D. and Matthew Korez

Birmingham, Alabama criminal defense drug lawyer represented defendant charged with unlawfully distributing opioids and other controlled substances while the doctor was absent from the clinic.

Elizabeth Korcz, M.D., 47, a licensed physician, and Matthew Korcz, 47, her husband and former practice manager, both of Hoover, Alabama, were charged with conspiracy to unlawfully distribute co... More...
   $0 (12-21-2020 - AL)

Texas Health and Human Services Commission v. Dimitria Pope and Shannon Pickett

Austin, TX - Employee-side labor and employment attorney represented Dimitria Pope and Shannon Pickett with filing suit against appellant Texas Health and Human Services Commission (HHSC) under the Texas Whistleblower Act.




Pope and Pickett were employed by HHSC as the Director and Associateployment
Director, respectiv... More...
   $0 (12-20-2020 - TX)

United States of America v. Timothy Baxter

Abingdon, Virginia providing false information criminal defense lawyer represented Defendant, Timothy Baxter, who was charged with a one-count misdemeanor Information related to Indiviors false and misleading representations to the Massachusetts Medicaid program (MassHealth) regarding Suboxone, a drug approved for recovering opioid addicts to avoid or reduce withdrawal symptoms.

Defend... More...
   $0 (12-18-2020 - VA)

United States of America v. Kathryn Nikole Russell

Memphis, TN - Conspiracy to distribute drugs criminal defense lawyer represented Defendant, Kathryn Nikole Russell, 41, of Memphis, was charged with conspiracy to distribute and dispense controlled substances. The defendant was charged in an April 2019 indictment as part of the first Appalachian Regional Prescription Opioid (ARPO) Strike Force Takedown. https://www.justice.gov/usao-wdtn/pr/us-atto... More...   $0 (12-16-2020 - TN)

United States of America v. Teresita Lumanas Alquero and Providence Home Health and Providence Hospice

Houston, Texas Teresita Lumanas Alquero and Providence Home Health and Providence Hospice knowingly and willfully committed health care fraud by paying improper kickbacks for referrals of Medicare patients to her businesses.

Teresita Lumanas Alquero owned both entities at the time of the alleged violations but has since sold them.

We cannot tolerate kickbacks, especially those d... More...
   $0 (12-15-2020 - OK)

Planned Parenthood of Greater Texas Family Planning and Preventative Health Services, et al. v. Sylvia Hernandez Kaufmann

In this interlocutory appeal of a preliminary injunction, the dispositive issue is whether 42 U.S.C. 1396a(a)(23) gives Medicaid patients a right to challenge, under 42 U.S.C. 1983, a States determination that a health care provider is not qualified within the meaning of 1396a(a)(23). Our decision rests primarily on two independent bases: (1) the Supreme Courts decision in OBannon v. To... More...   $0 (11-25-2020 - TX)

United States of America v. Grigoriy T. Rodonaia

Beaumont, Texas health care fraud criminal defense lawyer represented Grigoriy T. Rodonaia, age 43, who was charged with 12 counts of health care fraud, three counts of aggravated identity theft, one count of making a false statement, and two counts of accepting kickbacks.

Rodonaia, a physician practicing in Beaumont with Rodonaia Family Medicine and Aesthetics, was indicted on March 18,... More...
   $0 (11-25-2020 - TX)

United States of America v. Indivior Solutions

Abingdon, Virginia white collar criminal defense lawyers represented making false statement regarding the marketing of the opioid-addiction-treatment drug Suboxone.

Indivior agreed to $600 million to resolve its civil and criminal liability. Altogether, the investigation and prosecution of Indivior Solutions and its parent companies, Indivior Inc. and Indivior plc, and two former Indivio... More...
   $0 (11-24-2020 - VA)

Dr. Mark A. Berry v. Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS)

Philadelphia, Pennsylvania qui tam lawyer represented plaintiff who sued Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS) for violating the False Claims Act.

Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS) agreed to pay $10 million to settle allegations under the False Claims Act that Therakos, Inc., a former J&J sub... More...
   $10000000 (11-22-2020 - PA)

United States of America v. Heidi Robertson

Birmingham, Alabama criminal defense lawyer represented defendant charged with Medicaid fraud.

Heidi Robertson, 35, was employed as the primary insurance biller at a Birmingham-area psychology clinic that billed the Medicaid Agency for counseling services that were never provided.

An investigation was initiated by the Program Integrity Division of the Alabama Medicaid Agency afte... More...
   $0 (11-22-2020 - AL)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution charge criminal defense lawyer represented Dr. Lawrence J. Valdez, M.D., who was charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, was sentenced after pleading guilty in November 2019 to one count of unlawful distribution of controlled substances.

Valdez admitted that in February 2017 he knowingly d... More...
   $0 (11-17-2020 - TN)

United States of America v. Dr. Eranga Haththotuwa

Wilmington, Delaware false claims act lawyer represented Eranga Cardiology, P.A. and Dr. Eranga Haththotuwa who were accused with committing health care fraud arising under the False Claims Act. Eranga Cardiology is a cardiology practice with locations in Milford and Dover.

From April 2014 to March 2020, the practice submitted claims for reimbursement to Medicare and Medicaid that requi... More...
   $0 (11-13-2020 - DE)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution lawyer represented defendant doctor charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, of Hendersonville, Tennessee, was charged in November 2019 to one count of unlawful distribution of controlled substances.

Pursuant to his guilty plea, Valdez admitted that in February 2017 he knowingly distributed ... More...
   $0 (11-13-2020 - TN)

United States of America v. Richard Farmer

Memphis, Tennessee criminal defense lawyer represented defendant charged with distributing opioids.

Richard Farmer, 83, of Memphis, Tennessee, was with three counts of distribution of controlled substances outside the scope of professional practice and without a legitimate medical purpose.

The defendant was charged in an April 2019 indictment as part of the first Appalachian Regi... More...
   $0 (11-05-2020 - TN)

United States of America v. Memorial Health Services

Los Angeles, California criminal defense lawyer represented defendant charged with health care fraud.

Memorial Health Services, a Fountain Valley-based non-profit health care organization was accused with overbilled Medicaid for prescription medication purchased and reimbursed under a federal drug pricing program.

Memorial agreed to pay $31.5 million to settle the claims made aga... More...
   $0 (11-03-2020 - CA)

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