Medicaid Law
 
United States of America v. James Sessoms

Philadelphia, Pennsylvania criminal defense lawyer represented the Defendant charged with Defrauding the Government of More Than $1 Million in SNAP, Medicaid Benefits

Philadelphia Man Pleads Guilty to Defrauding the Government of More Than $1 Million in SNAP, Medicaid Benefits

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   $0 (04-29-2025 - PA)

United States of America v. James Sessoms

Philadelphia, Pennsylvania criminal defense lawyer represented the Defendant charged with Defrauding the Government of More Than $1 Million in SNAP, Medicaid Benefits

Philadelphia Man Pleads Guilty to Defrauding the Government of More Than $1 Million in SNAP, Medicaid Benefits

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   $0 (04-29-2025 - PA)

United States of America v. Dafud Iza

Washington, D.C. criminal defense lawyer represented the Defendant charged with $133M Affordable Care Act Fraud Scheme

Executive Vice President of Insurance Brokerage Pleads Guilty in $133M Affordable Care Act Fraud Scheme



A Florida ... More...
   $0 (04-18-2025 - DC)

United States of America v. Mark Sorensen

Chicago, Illinois criminal defense lawyer represented the Defendant charged with violating Anti-Kickback law.

This case tests the outer boundaries of the federal Anti-Kickback Statute, 42 U.S.C. § 1320a-7b(b), which prohibits payments in return for referrals of patients for medical care that will be reimbursed under the federal Medicare or Medicaid programs. The Anti-Kickback Statute app... More...
   $0 (04-16-2025 - IL)

United States of America v. People’s Rx, Inc., d/b/a The People’s Pharmacy Shoppe

Newark, New Jersey criminal defense lawyer represented the Defendant charged with False Claims Act Allegations Of Billing For Drugs Not Dispensed

Union City Pharmacy Agrees To Resolve False Claims Act Allegations Of Billing For Drugs Not Dispensed

<... More...
   $0 (04-14-2025 - NJ)

United States of America v. Gabriel Langford and Elizabeth Brown

Minneapolis, Minnesota criminal defense lawyer represented the Defendant charged with $15 Million Medical Billing Fraud Scheme

Minnesota Couple Indicted in $15 Million Medical Billing Fraud Scheme



An indictment was unsealed alleging th... More...
   $0 (04-10-2025 - )

United States of America v. Gabriel Langford and Elizabeth Brown

Minneapolis, Minnesota criminal defense lawyer represented the Defendant charged with $15 Million Medical Billing Fraud Scheme

Minnesota Couple Indicted in $15 Million Medical Billing Fraud Scheme



An indictment was unsealed alleging th... More...
   $0 (04-10-2025 - )

Joshua Lamle, et al. v. Susan Eads, et al.

Oklahoma City, Oklahoma civil rights lawyers represented the Plaintiffs on wrongful denial of Medicaid benefits.

Two elderly individuals (Ms. Penelope Lamle and Ms. Maxine Houston) sued based on alleged irregularities in the processing of their Medicaid applications. 1 In their suit, the applicants sought  an injunction ordering an expedited decision and payment of Medicaid benefits an... More...
   $0 (04-09-2025 - OK)

United States of America v. Mi Ok Song Bruining

Providence, Rhode Island criminal defense lawyer represented the Defendant charged with Scheme to Defraud Federal, State, and Private Health Care Insurers

Addiction Treatment Center Supervisor Sentenced in Scheme to Defraud Federal, State, and Private Health Care Insurers

... More...
   $0 (03-05-2025 - RI)

United States of America v. Dr. Sonny Saggar

St. Louis, Missouri criminal defense lawyer represented the Defendant charged with Health Care Fraud

St. Louis Area Doctor Sentenced for Health Care Fraud



U.S. District Judge Stephen R. Clark sentenced a doctor who ran two urgent care ... More...
   $0 (02-19-2025 - MO)

united States ex rel. Lisa Wheeler, et al. v. Acadia Healthcare Company, Inc., et al.

Asheville, North Carolina qui tam lawyer represented the Plaintiff who sued in fraud theories.

Congress enacted the False Claims Act in 1863 to provide a mechanism for the
government to redress fraud in government procurement during the Civil War. Congress
substantially strengthened the Act with the passage of the False Claims Act of 1986, and
further strengthened it with the ... More...
   $0 (02-18-2025 - NC)

United States of America v. Kevin Paul McMains

cty, sta criminal defense lawyer represented the Defendant charged with Benefit Fraud

Army Veteran Sentenced to Federal Prison For Over Three-Quarter Million Dollar Benefit Fraud




Kevin Paul McMains, 44, of Milton, Florida, has... More...
   $0 (02-13-2025 - FL)

United States of America v. Raef Hamaed, Tarek Fakhuri, Ali Abdelrazzaq, Kindy Ghussin

Washington, D.C. criminal defense lawyer represented the Defendant charged with Medicare, Medicaid, and Private Insurer Fraud

Four Pharmacists Sentenced for Roles in $13M Medicare, Medicaid, and Private Insurer Fraud Conspiracy



Four pha... More...
   $0 (02-06-2025 - DC)

United States of America v. Adrian Dexter Talbot M.D.

Washington, D.C. criminal defense lawyer represented the Defendant charged with Illegally Distributing Over 1.8M Doses of Opioids in $5.4M Health Care Fraud Scheme

Louisiana Doctor Sentenced for Illegally Distributing Over 1.8M Doses of Opioids in $5.4M Health Care Fraud Scheme

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   $0 (02-06-2025 - DC)

United States of America v. Mohammed Kazim Ali

Milwaukee, WI criminal defense lawyer represented the Defendant charged with Paying Healthcare Kickbacks

Greenfield Man Sentenced to 15 Months’ Imprisonment for Paying Healthcare Kickbacks



Mohammed Kazim Ali was indicated for paying ... More...
   $0 (01-27-2025 - WI)

United States of America v. Mohammed Kazim Ali

Green Bay, Wi criminal defense lawyer represented the Defendant charged with Paying Healthcare Kickbacks

Greenfield Man Sentenced to 15 Months’ Imprisonment for Paying Healthcare Kickbacks



Gregory J. Haanstad, United States Attorney ... More...
   $0 (01-27-2025 - WI)

K&V Group, LLP v. Walgreens Boots Alliance, Inc., et al.

Chicago, Illinois civil litigation lawyers will be representing United States of America qui tam claim against Walgreen claiming that it filled millions of unlawful prescriptions in violation of the Controlled Substances Act (CSA) and then sought reimbursement for many of these prescriptions from various federal health care programs in violation the False Claims Act (FCA). Walgreens is one of the... More...   $0 (01-17-2025 - IL)

United States of America v. Jeffrey Paul Madison

Tyler, Texas criminal defense lawyer represented the Defendant charged with health care kickback

Texas hospital CEO sentenced to federal prison for role in health care kickback conspiracy



A former Texas hospital chief executive office... More...
   $0 (01-15-2025 - TX)

United States of America ex rel. State of Michigan, et al. v. State Farm Mutual Automoible Insurance Company, et al.

Detroit, Michigan civil litigation lawyers represented the Plaintiffs who sued on a qui tam theory.


In some circumstances, “an individual who has incurred medical expenses can lawfully
seek recovery from more than one insurer.” United States ex rel. Angelo v. Allstate Ins. Co., 106
F.4th 441, 445 (6th Cir. 2024). This is also true when one of those insurers is Medicare. I... More...
   $0 (01-15-2025 - MI)

United States of America v. Jeffrey Paul Madison

Tyler, Texas criminal defense lawyer represented the Defendant charged with role in health care kickback conspiracy

Texas hospital CEO sentenced to federal prison for role in health care kickback conspiracy



A former Texas hospital chie... More...
   $0 (01-15-2025 - TX)

United States of America v. Kevin Paul McMains

Pensacola, Florida criminal defense lawyer represented the Defendant charged with Three-Quarter Million Dollar Benefit Fraud

Army Veteran Sentenced to Federal Prison For Over Three-Quarter Million Dollar Benefit Fraud



Kevin Paul McMain... More...
   $0 (01-13-2025 - FL)

United States of America v. Kevin Paul McMains

Pensacola, FL criminal defense lawyer represented the Defendant charged with Benefit Fraud

Army Veteran Sentenced to Federal Prison For Over Three-Quarter Million Dollar Benefit Fraud



Kevin Paul McMains, 44, of Milton, Florida, pleaded... More...
   $0 (01-13-2025 - FL)

United States of America v. Michael Brier

Providence, Rhode Island criminal defense lawyer represented the Defendant charged with Health Care Fraud Conspiracy

Owner of Addiction Treatment Chain That Billed for Recovery Services Not Provided Sentenced to More Than Eight Years in Federal Prison in Health Care Fraud Conspiracy More...
   $0 (01-07-2025 - RI)

United States of America v. Naimetulla Ahmed Syed, M.D.

New Haven, Connecticut criminal defense lawyer represented the Defendant charged with False Claims Act and Controlled Substances Act Allegations

New Haven Psychiatrist to Pay More Than $450K to Settle False Claims Act and Controlled Substances Act Allegations

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   $0 (01-02-2025 - CT)

United States of America v. Naimetulla Ahmed Syed, MD.

New Haven, Connecticut criminal defense lawyer represented the Defendant charged with False Claims Act and Controlled Substances Act Allegations

New Haven Psychiatrist to Pay More Than $450K to Settle False Claims Act and Controlled Substances Act Allegations

<... More...
   $0 (01-02-2025 - CT)

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