Medicaid Law
 
United States of America v. Jaspaul Bhangoo, M.D., et al.

Sherman, Texas civil litigation attorneys represented defendants accused for violating the False Claims Act involving illegal remuneration in violation of the Anti-Kickback Statute and Stark Law.

Seven Texas doctors and a hospital executive have agreed to pay a total of $1,106,449 to resolve False Claims Act allegations involving illegal remuneration in violation of the Anti-Kickback Sta... More...
   $0 (01-20-2022 - TX)

United States of America v. Edward Douglas Cornman

Marquette, Michigan criminal defense attorney represented defendant charged with theft of government funds.

Edward Douglas Cornman, 49, of Menominee, Michigan, was indicted for theft of government funds.

Cornman pleaded guilty in June 2021 to lying about his work history and assets to obtain Medicaid benefits. From 2010 to 2019, Cornman failed to disclose his assets ... More...
   $0 (01-15-2022 - MI)

STATE OF TEXAS; STATE OF KANSAS; STATE OF LOUISIANA; STATE OF INDIANA; STATE OF WISCONSIN; STATE OF NEBRASKA v. CHARLES P. RETTIG, in his Official Capacity as Commissioner of Internal Revenue; UNITED STATES OF AMERICA

New Orleans, LA - Health and Human Services lawyer represented Plaintiffs - Appellees Cross-Appellants with constitutional challenges to Section 9010 of the Affordable Care Acstitutionalt (the “ACA”) and statutory and constitutional challenges toa U.S. Department of Health and Human Services (“HHS”) administrative rule (the “Certification Rule”).

More...   $0 (01-05-2022 - LA)

State of Colorado v. Kelly Turner

Littleton, Colorado criminal defense attorney represented defendant charged with felony theft, felony charity fraud, and child abuse negligently causing death.

Kelly Turner was charged with murder in the death of 7-year-old Olivia Grant.

Olivia died in August 2017 of intestinal failure after Turner signed a do-not-resuscitate order, telling doctors that Olivia's quality of life ... More...
   $0 (01-04-2022 - CO)

United States of America v. Integrated Pain Associates, PLLC and Day Surgery Center, LLC

Waco, Texas civil litigation lawyers represented Defendants accused of violating the false claims act by overbilling federal healthcare programs.

The United States’ allegations arise from IPA and CTDSC’s submission of claims to Medicare, Medicaid, and TRICARE for facet joint injections, transforaminal injections, and radiofrequency ablation procedures. The United States contends that ... More...
   $0 (12-21-2021 - TX)

Mario J. Gutierrez v. Commissioner, SSA

Denver, CO - Social Security lawyer represented defendant with appealing from a district court order that affirmed the Commissioner’s denial of his applications for disability insurance benefits (DIB) and supplemental security income (SSI).



Gutierrez has a GED and has worked as a roofer and a production assembler. He
clai... More...
   $0 (12-20-2021 - CO)

United States of America v. Lisa Hofschulz and Robert Hofschulz

Milwaukee, Wisconsin criminal defense lawyers represented Defendants charged with drug-trafficking conspiracy and “pill mill” operation.

Lisa Hofschulz, age 61, and Robert Hofschulz, age 74, were the owners and operators of Clinical Pain Consultants (“CPC”), which operated in Wauwatosa, Wisconsin. Following a 9 day trial in August 2021, a federal jury found Lisa Hofschulz guilt... More...
   $0 (12-17-2021 - WI)

United States of America v. Edward Douglas Cornman

Marquette, Michigan criminal defense lawyer represented Defendant charged with fraud.

Edward Douglas Cornman, 49, of Menominee, Michigan, was with theft of government funds.

Cornman pleaded guilty in June 2021 to lying about his work history and assets to obtain Medicaid benefits. From 2010 to 2019, Cornman failed to disclose his assets and work activities to the Soc... More...
   $0 (12-15-2021 - MI)

United States of America v. Bachtu ("Theresa") Phan and LAN Apothecar, Inc.

Philadelphia, Pennsylvania qui tam lawyer represented Plaintiff, who sued Defendants on a False Claim Act violation theory claiming that Defendants charged Medicare for prescription medications that were not actually dispensed during the period from January 1, 2014 to June 29, 2019. These medications include, but are not limited to, Januvia, Janumet, Zetia, Tradjenta, Linzess, Advair Diskus, Namen... More...   $0 (12-13-2021 - PA)

United States of America v. Terry Brown

Pittsburgh, Pennsylvania criminal defense lawyer represented Defendant charged for unlawfully distributing controlled drugs.

Terry Brown, a resident of Wexford, Pennsylvania owned and operated Cherry Way, a Suboxone clinic, located in Bridgeville PA, and Foster was a medical director at Cherry Way. Brown and Foster conspired together to create and submit unlawful prescriptions for Suboxo... More...
   $0 (12-13-2021 - PA)

United States ex rel. Myron Jones, M.D., et al. v. Milton Hall Surgical Associates, LLC d/b/a The ENT Institute and a/k/a the Ear, Nose & Throat Institute, Jeffrey M. Gallups, M.D., et al.

Atlanta, Georgia qui tam lawyer represented Plaintiff, who sued Defendants on False Claims Act (31 U.S.C. 3729) violation theories for paying illegal kickbacks.

Dr. Jeffrey M. Gallups (founder, owner, medical director and past-CEO of Milton Hall Surgical Associates (“MHSA”) a/k/a The Ear, Nose & Throat Institute) and Entellus Medical were accused of paying illegal kickbacks.

... More...
   $0 (12-12-2021 - GA)

United States of America v. Matthew Hogan Peters

Portland, Oregon criminal defense lawyer represented Defendant charged with tax evasion and submitting false and health care fraud.

Matthew Hogan Peters, 38, was sentenced to three years in federal prison and three years’ supervised release. Peters was also ordered to pay more than $3,441,263 million in restitution to the IRS, in addition to back taxes Peters has already paid.

... More...
   $0 (12-10-2021 - OR)

United States of America v. Peter Bolos

Greeneville, Tennessee criminal defense lawyer represented Defendant charged with mail fraud, conspiracy to commit health care fraud and introduction of a misbranded drug into interstate commerce.

Peter Bolos, age 44, and his co-conspirators, Andrew Assad, Michael Palso, Maikel Bolos, Larry Smith, Scott Roix, HealthRight LLC, Mihir Taneja, Arun Kapoor, and Sterling Knight Pharmaceuticals,... More...
   $0 (12-06-2021 - FL)

United States of America v. Tamika Adams

Pittsburgh, Pennsylvania criminal defense attorney represented defendant charged with health care fraud and aggravated identity theft.

Tamika Adams, 45, was indicted for conspiracy to commit health care fraud in violation of 18 U.S.C. 1349, health care fraud in violation of 18 U.S.C. 1347 and aggravated identity theft in violation of 18 U.S.C. 1028 A and 2.

During her plea heari... More...
   $0 (12-01-2021 - PA)

UNITED STATES OF AMERICA v. ROBERT V.A. HARRA, JR. UNITED STATES OF AMERICA v. DAVID GIBSON A UNITED STATES OF AMERICA v. WILLIAM B. NORTH UNITED STATES OF AMERICA v. KEVYN N. RAKOWSKI

New York, NY - Criminal defense lawyer represented defendants with a conspiracy to defraud the United States, commit securities fraud, and make false statements to regulators charges.



A. The Bank’s Internal Practices
For many years before the Great Recession, Wilmington Trust maintained a significant commercial re... More...
   $0 (11-28-2021 - NY)

United States of America ex rel. Hassan Foreman v. AECOM et al.

New York, NY - False Claims lawyer represented defendants accused of violating the False Claims Act ("FCA").



26 This action involves a billion-dollar defense contract entered into between
27 AECOM (a publicly held corporation), AECOM Government Services, Inc., AC
28 FIRST, LLC, and AECOM/GSS Ltd. (collectively,... More...
   $0 (11-26-2021 - NY)

United States of America, e4x rel Banigan & Templin v. PHARMERICA, INC.

Boston, MA - False Claims Act lawyer represented defendant charged with defending PharMerica, Inc of defrauded the government claim.



"The FCA prohibits the knowing submission of false or
fraudulent claims to the United States." United States ex rel.
Poteet v. Bahler Med., Inc., 619 F.3d 104, 107 (1st Cir. 2010)... More...
   $0 (11-23-2021 - MA)

United States of America v. LUCIANO VEGA-MARTÍNEZ, aka Lucio; RENÉ GARAY-RODRÍGUEZ, aka Gary

Boston, MA - Criminal defense lawyer represented defendants with charged with mail fraud and violations of section 1 of the Sherman Act.



In 2013, Vega-Martínez, Garay-Rodríguez, and their codefendants owned competing bus companies that sought to provide
busing for low-income students from Caguas to public schools... More...
   $0 (11-22-2021 - MA)

United States of America v. Leonel Palatnik

Miami, Florida criminal defense lawyer represented Defendant charged with fraud and paying and receiving kickbacks.

Leonel Palatnik, 42, of Aventura, as a co-owner of Panda Conservation Group LLC (Panda), conspired with other co-owners of the company and with Michael Stein, the owner of 1523 Holdings LLC, to pay illegal kickbacks to Stein in exchange for his work arranging for telemedicin... More...
   $0 (11-10-2021 - FL)

United States of America v. RehabAuthority, LLC

Minneapolis, MN: False Claims Act lawyers sued Defendant on behalf of the United States on a Qui Tam theory claiming that Defendant wrongfully billed for outpatient physical therapy services in violation of the False Claims Act.

RehabAuthority, LLC, a physical therapy company with operations in Minnesota, agreed to pay $4 million to resolve allegations that it submitted false claims for... More...
   $0 (10-28-2021 - MN)

United States of America v. Thomas K. Ballard, III

Memphis, TN: Criminal defense lawyer represented defendant charged with unlawful prescribing of opioids that caused the death of one of his patients.

Thomas K. Ballard III, 63, of Jackson, a medical doctor, owned and operated the Ballard Clinic, where he prescribed controlled substances outside the scope of professional practice and not for a legitimate medical purpose. Among other things... More...
   $0 (10-19-2021 - TN)

United States of America v. Jae Y. Lee and Northwest Physicians Laboratory (NWPL)

Seattle, WA: The United States of America claimed that Jae Lee and Northestern Physicians Laboratory violated the False Claims Act by engaging in a kick-back scheme.

Jae Lee, 50, of Bellevue, Washington, served as the CEO of Northwest Physicians Laboratory (NWPL) from January 1, 2013, until July 30, 2015. Lee agreed to pay $500,000 within 30 days of the settlement agreement, with additi... More...
   $1100000 (10-18-2021 - WA)

United States of America v. Jeurin Celado

Providence, RI: Criminal defense lawyer represented defendant charged with false representation of social security number, aggravated identity theft, health care fraud, conspiracy to distribute and to possess with intent to distribute 40 grams or more of fentanyl.

Jeurin Celado, 31, was charged with false representation of a Social Security number, aggravated identity theft, health care f... More...
   $0 (09-24-2021 - RI)

United States of America v. John Paul Linke


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Abingdon, VA: Criminal defense lawyer represented defendant charged with conspiracy to receive and pay kickback... More...
   $0 (09-23-2021 - VA)

United States of America v. Lori Ann Villanueva Talens

Norfolk, VA: Criminal defense lawyer represented Defendant charged counterfeiting fraudulent coupons.

“These two defendants have been sentenced and held accountable for operating one of the largest coupon fraud schemes ever discovered in the United States, resulting in over $31 million in losses to victims across the country,” said Raj Parekh, Acting U.S. Attorney for the Eastern Dist... More...
   $0 (09-16-2021 - VA)

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