Gulfport, MS - The United States of America claimed Ted Cain, Julie Cain and Tommy Kuluz caused false claims to be made with Medicare.

Following a nine week trial, a federal jury in Gulfport returned a guilty verdict against Ted and Julie Cain of Ocean Springs, Ted Cain’s companies, Stone County Hospital (Wiggins) and Corporate Management, Inc. (Gulfport), and Tommy Kuluz, Chief Financia

Philadelphia, PA - The United States of America charged Charles F. Kohlerman, IV with wire fraud and drug distribution.

Charles F. Kohlerman, IV, 50, of Media, PA, was sentenced to three years’ imprisonment and two years of supervised release by United States District Court Judge R. Barclay Surrick for one count of conspiracy to commit wire fraud and 14 counts of distributing and dispens

Houston, TX - The United States of America charged George Phillip Tompkins with health care fraud, wire fraud and money laundering.

After a six-day trial, George Phillip Tompkins, 75, of Houston, Texas, was convicted on all charges - one count each of conspiracy to pay and receive kickbacks, conspiracy to commit health care fraud, conspiracy to commit money laundering as well as 11 counts

Nashville, TN - The United States of America claimed that Diversicare Health Services, Inc. knowingly submitted false claims for Medicare services.

Diversicare Health Services, Inc., has agreed to pay $9.5 million to resolve allegations that it violated the False Claims Act by knowingly submitting false claims to Medicare for rehabilitation therapy services that were not reasonable, nece

Oklahoma City, OK - The State of Oklahoma charged Gina Lucille Redwine, Sally Ruth Cole and Gloria Willis with:

Count # 1. Count as Filed: WELF, MEDICAID FRAUD, in violation of 56 O.S. 185,243,1005.1
Date of Offense: 02/15/2012
Party Name Disposition Information
REDWINE, GINA LUCILLE Disposed: DEFERRED, 02/24/2020. Guilty Plea
Count as Disposed: MEDICAID FRAUD(WELF)

Los Angeles, CA - United States of America charged Aleksandr Suris and Maxim Sverdlov with health care fraud.

Two owners and operators of a Los Angeles pharmacy were both sentenced to 144 months in prison for their roles in a health care fraud scheme where Medicare and CIGNA were billed more than $11.8 million in fraudulent claims for prescription drugs.

Aleksandr Suris, 51, of S

St. Louis, MO - The United States of America charged Bradley A. Seyer, D.D.S. with making false statements relating to health care matters.

Bradley A. Seyer, D.D.S., 53, of Florissant, Missouri, was sentenced today to 18 months of imprisonment and a $50,000 fine. Previously, on June 26, 2019, Dr. Seyer pleaded guilty to two felony charges of making false statements to Medicare and illega

Roanoke, VA - The United States of America charged Frank Purpera, Jr. with drug distribution and health care fraud.

The former owner of the Virginia Vein Institute, who illegally distributed controlled substances, conspired to commit health care fraud, committed health care fraud, and then obstructed justice to hinder the investigation, was convicted yesterday at the conclusion of a seven

Salt Lake City, UT - The United States of America charged Elet Neilson with stealing pain medications from patients.

Elet Neilson, age 53, of Layton, a former emergency room nurse who admitted to tampering with controlled substances intended for patients and diverting the drugs for her own use, will serve 60 months in federal prison.

As a result of the tampering and diversion,

Knoxville, TN - The United States of America sued Dr. Chang-Wen on a False Claims Act violation theory.

Family physician Dr. Chang-Wen Chen and his practice Chang-Wen Chen, M.D., P.C. paid $285,000 to resolve allegations that they violated the False Claims Act by improperly charging government health care programs the physician’s rate for services that were provided by nurse practitioners

Cleveland, OH - The United States of America charged Ryan P. Sheridan with:

Ryan P. Sheridan, 39, the owner and operator of Braking Point Recovery Center, which operated in the Youngstown and Columbus areas, was sentenced to 7 ½ years in prison for crimes related to a health care fraud conspiracy where Medicaid was billed $48 million for drug and alcohol recovery services, much of which w

Pittsburgh, PA - The United States of America charged Terra Dean and Larita Walls with Medicaid and Health car fraud.

Two residents of Pittsburgh, Pennsylvania, pleaded guilty to one count each of conspiracy to defraud the Pennsylvania Medicaid program and health care fraud.

Terra Dean, 46, and Larita Walls, 57, pleaded guilty in separate hearings before United States District Ju

Brooklyn, NY - The United States of America sued Dr. Rajendra Bhayani claiming that he paid kickback and and submitted false claims for reimbursment.

Dr. Rajendra Bhayani, an otolaryngologist, has agreed to pay the United States $1,109,000 to resolve civil allegations that he and his practice – New York Otolaryngology & Aesthetic Surgery, P.C. in Brooklyn and Queens – paid kickbacks and s

San Diego, CA - Numerous complaints sued MesMed on qui tam theories.

ResMed Corp., a manufacturer of durable medical equipment (DME) based in San Diego, California, has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other health care providers, the Department of Justice announced today.

“P

Lexington, KY - The United States of America charged Theresa C. Merced, age 80, with soliciting kickbacks.

A Jackson, Kentucky, woman admitted she solicited kickbacks from a toxicology laboratory in exchange for urine drug testing referrals, lied to law enforcement agents about the kickback she received, and then attempted to cover up the kickback by requesting the alteration of certain f

Plaintiffs and appellants Dignity Health and Northridge
Hospital Medical Center (Northridge Hospital; collectively,
plaintiffs) appeal from a grant of summary judgment in favor of
defendant and respondent Local Initiative Health Care Authority
of Los Angeles County dba L.A. Care Health Plan (defendant).
Defendant is a managed care health plan that provides health
care cover

Los Angeles, CA - The United States of America chrged Kain Kumar with medicare fraud and illegall prescribing opioid painkillers and muscle relaxers.

A former Los Angeles-area physician was sentenced today to 24 months in prison and three years of supervised release for engaging in a multi-faceted Medicare fraud scheme and for illegally prescribing thousands of opioid painkillers and musc