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... More...   $9500000 (03-06-2020 - TN)

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... More...   $0 (02-27-2020 - CA)

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)More...   $0 (02-24-2020 - OK)

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... More...   $0 (02-08-2020 - MO)

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... More...   $0 (02-04-2020 - VA)

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, ... More...   $0 (01-30-2020 - UT)

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... More...   $0 (01-27-2020 - OK)

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... More...   $0 (01-27-2020 - OH)

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... More...   $0 (01-23-2020 - PA)

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... More...   $1100000 (01-22-2020 - NY)

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... More...   $0 (01-20-2020 - CA)

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... More...   $0 (01-16-2020 - KY)

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... More...   $0 (01-12-2020 - CA)

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... More...   $0 (01-07-2020 - CA)

Abingdon, VA - The United States of America charged Dr. Raymond Michael Moore with illegally dispensing drugs.

Dr. Raymond Michael Moore, 61, of Wise, Va., who had a medical practice in Norton, Va., pleaded guilty to fourteen federal charges, including illegally prescribing more than 25,000 oxycodone pills, more than 17,000 hydrocodone pills, and more than 10,000 benzodiazepine pills; obt... More...   $0 (01-03-2020 - VA)

This case concerns a Mississippi law that prohibits abortions, with limited exceptions, after 15 weeks’ gestational age. The central question before us is whether this law is an unconstitutional ban on pre-viability abortions. In an unbroken line dating to Roe v. Wade, the Supreme Court’s abortion cases have established (and affirmed, and re-affirmed) a woman’s right to choose an abortion before v... More...   $0 (12-16-2019 - MS)

Brooklyn, NY - The United States of America charged Enock Mensah with theft of funds and health care fraud.

A federal jury in Brooklyn returned a guilty verdict for public benefits theft and healthcare fraud against Enock Mensah, a social worker participating in the New York State Early Intervention Program (EIP) that provides remedial services to developmentally delayed children. When s... More...   $0 (12-13-2019 - NY)

Philadelphia, PA - The United States of America charged Rising Pharmaceuticals, Inc. with engaging in a criminal conspiracy to fix prices and allocate customers for a generic drug.

Rising Pharmaceuticals Inc. (Rising), a generic pharmaceutical company headquartered in New Jersey, was criminally charged for conspiring to fix prices and allocate customers for a generic hypertension drug, an... More...   $0 (12-04-2019 - PA)

Nashville, TN - The United States of America charged Darrel R. Rinehart, M.D. with unlawfully distributing controlled drugs.

A medical doctor who formerly practiced in Tennessee pleaded guilty for his role in unlawfully distributing controlled substances.

Darrel R. Rinehart M.D., 64, of Indianapolis, Indiana, formerly of Columbia, Tennessee, pleaded guilty to one count of unlawfu... More...   $0 (12-03-2019 - TN)

Sioux Falls, SD - The United States of America charged A’Shae Primeaux with assault and batter with a dangerous weapon.

A Marty, South Dakota, man convicted of Assault with a Dangerous Weapon was sentenced on November 25, 2019, by U.S. District Judge Karen E. Schreier.

A’Shae Primeaux, age 21, was sentenced to 24 months in federal prison, 3 years of supervised release, restitutio... More...   $0 (11-28-2019 - SD)

Nashville, TN - The United States of America charged Lawrence J. Valdez, M.D. with drug distribution.

A Tennessee emergency medical doctor pleaded guilty for his role in unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 50, of Hendersonville, Tennessee, pleaded guilty to one count of unlawful distribution of controlled substances before U.S. District Judge ... More...   $0 (11-26-2019 - TN)

Beaumont, TX - The United States of America charged Douglas Duane Franklin with health care fraud.

A 59-year-old Beaumont mental health care counselor has pleaded guilty to health care fraud in the Eastern District of Texas.

Douglas Duane Franklin pleaded guilty to an Information charging him with health care fraud.

According to informatio... More...   $0 (11-25-2019 - TX)

Washington, DC - The United States of America charged Hope Falowo with health care fraud.

Hope Falowo, 53, of Bowie, Maryland, pled guilty today to a federal charge of health care fraud stemming from a scheme in which she caused the District of Columbia’s Medicaid program to be defrauded out of approximately $400,000.

The announcement was made by U.S. Attorney Jessie K... More...   $0 (11-23-2019 - DC)