Louisville, KY - The United States ex rel. Stone v. Jewish Hosp. & St. Mary’s Healthcare, Inc., et al., on qui tam theories claiming they submitted false claims for Medicare reimbursement.

Jewish Hospital & St. Mary’s Healthcare Inc., doing business as Pharmacy Plus and Pharmacy Plus Specialty (collectively, Jewish Hospital), of Louisville, Kentucky, have agreed to pay $10,101,132 to res... More...   $10101132 (11-21-2019 - KY)

St. Louis, MO - The United States of America charged Naim Muhammad with Medicaid fraud.



Naim Muhammad, 56, of St. Charles, MO, pled guilty to one count of making a false claim to Medicaid. Mr. Muhammad appeared today before U.S. District Judge Audrey G. Fleissig who accepted his plea and set sentencing for February 28, 2020.

According to the plea agreement, Mr. Muham... More...   $0 (11-20-2019 - MO)

Tony Sarun had no health insurance in March 2012 when
he received emergency care at Northridge Hospital Medical
Center, then owned and operated by Dignity Health.1 Upon
admission Sarun signed an agreement to pay the hospital’s “full
charges, unless other discounts apply.” “Full charges” were
defined as “the Hospital’s published rates (called the
chargemaster), prior to any ... More...   $0 (11-16-2019 - CA)

Detroit, MI - The United States of America charged Malik Fuqua with conspiracy to distribute controlled substances.

The owner of a Detroit, Michigan-area physical therapy clinic pleaded guilty for his role in a drug diversion scheme.

Malik Fuqua, 49, of Southfield, Michigan, pleaded guilty to one count of conspiracy to distribute controlled substances before U.S. District Judg... More...   $0 (11-14-2019 - MI)

Baton Rouge, LA - The Louisiana Department of Health has agreed to resolve allegations that it submitted false and inflated Medicaid claims for long-term nursing home and hospice care, the Department of Justice announced today. Under the settlement agreement, the state agency has agreed to pay $13,422,550.

“Today’s settlement demonstrates that we will take whatever steps are appropriate... More...   $0 (11-14-2019 - LA)

Because California participates in the federal Medicaid
program, California must pay federally qualified health centers
for their services to Medicaid beneficiaries. (42 U.S.C. §
1396a(bb)(4).) The question is how much California must pay the
counties and their clinics for providing this care. The answer is
“100 percent” of the cost of a defined list of services. (42 U.S.C. §More...   $0 (10-17-2019 - CA)

Los Angeles, CA - Eye Doctor Group, Physicians Pay $6.65 Million to Settle Allegations They Submitted Fraudulent Bills to Medicare and Medicaid

A Southern California-based ophthalmology group, its former CEO and several of its physicians have paid the United States and California $6.65 million to settle False Claims Act allegations that they defrauded public health care programs by billin... More...   $0 (10-07-2019 - CA)

Houston, TX - Texas Hospital Administrator Sentenced to 10 Years in Prison for Role in $16 Million Health Care Fraud Scheme

A Houston, Texas-area hospital administrator was sentenced for his role in a $16 million Medicare fraud scheme involving partial hospitalization programs.

Starsky Bomer, 46, of Houston, Texas, was sentenced by U.S. District Judge Vanessa Gilmore of the South... More...   $0 (09-16-2019 - TX)