Medicaid Law
 
United States of America v. Glen Elwood McKenzie, Jr. Western District of Texas Federal Courthouse - Austin, Texas

Austin, TX - Austin Area Patient Recruiter Pleads Guilty to Receiving Kickbacks in Health Care Fraud Scheme

Glen Elwood McKenzie, Jr., age 68, of Cedar Park, TX, pleaded guilty to federal charges in connection with a Health Care Fraud .

Appearing before United States Magistrate Judge Mark Lane, McKenzie pleaded guilty to one count of conspiracy to violate the federal anti-kickba

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United States of America v. Elechi N. Oti; Theodore E. Okechuku; Kelvin L. Rutledge; Emmanuel C. Iwuoha Fifth Circuit Court of Appeals - New Orleans, Louisiana

After a two-week jury trial, Defendant-Appellants Theodore Okechuku, Elechi Oti, Emmanuel Iwuoha, and Kevin Rutledge were convicted of conspiring to unlawfully distribute hydrocodone outside the scope of professional practice and without a legitimate medical purpose as part of an alleged pill mill. Okechuku was also convicted of two additional firearm counts—using, carrying, and brandishing a fire

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United States of America ex rel., Joshua Harman v. Trinity Industries, Inc.; Trinity Highway Products, LLC Fifth Circuit Court of Appeals - New Orleans, Louisiana

The trial in this case offers two narratives. One of a hardworking man
who, angered by failures of guardrails installed across the United States—with
sometimes devastating consequences—persuaded a Texas jury of a concealed
cause of those failures. The other of the inventive genius of professors at Texas
A&M’s Transportation Institute, who, over many years of study and testing,

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United States of America v. Kenneth Frank Harycki Federal Courthouse - Minneapolis, Minnesota

Minneapolis, MN - Former Mayor Of Stillwater Sentenced To A Year And A Day In Prison For Tax Fraud Conspiracy

Kenneth Frank Harycki, 54, was sentenced to a year and a day in prison for his involvement in a tax conspiracy. HARYCKI, who pleaded guilty to one count of conspiracy to defraud the United States in the ascertainment and collection of taxes on January 15, 2015.

“Mr. Haryc

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United States of America v. Christopher Grant Watson Federal Courthouse Eastern District of Arkansas - Little Rock, Arkansas

Little Rock, AR - Perryville Pharmacist Sent to Prison for 10 Years, to Pay $850,00 for Role in Pill Scheme

Christopher Grant Watson, 44, of Perryville, a former pharmacist and owner of Perry County Food and Drug Store, will be spending the next 10 years in federal prison.

United States District Court Judge James M. Moody sentenced Watson to a statutory maximum 120 months’ impris

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United States of America v. Thurlee Belfrey, Foylee Belfrey and Lanore Belfrey Federal Courthouse - Minneapolis, Minnesota

Minneapolis, MN - Health Care Business Owners Plead Guilty To Fraud And Tax Charges

Three defendants pleaded guilty for their involvement in a years-long, multi-million dollar heath care fraud and tax conspiracy. THURLEE BELFREY, 52, ROYLEE BELFREY, 52, and LANORE BELFREY, 42, pleaded guilty on September 14, 2017, before Senior U.S. District Judge Ann D. Montgomery in Minneapolis, Minn. T

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Donadl Dewayne Moore v. Warr Acres Nursing Center, LLC

¶1 We retained this cause to address the dispositive issue of whether terminating a licensed practical nurse for missing work in a nursing center based on vomiting on the job and a doctor's note admitting that he should not work for three days due to an infection with influenza would violate public policy.1 We hold that it would. The public policy behind precluding a nursing home employee from wor

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Melissa Mays v. City of Flint, Michigan Sixth Circuit Court of Appeals Courthouse - Cincinnati, Ohio

This case arises out of the drinking-water
crisis in Flint, Michigan. The Plaintiffs are residents of the City of Flint who represent
themselves and seek to represent a class of similarly situated individuals. They allege that they
have been harmed since April 2014 by the toxic condition of the Flint water supply. The
Plaintiffs filed suit against several City and State officials i

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United States of America, et al. v. Solvay Pharmaceuticals, Inc. Fifth Circuit Court of Appeals - New Orleans, Louisiana

John King and Tammy Drummond (collectively, “Relators”) appeal the
district court’s grant of summary judgment to Solvay Pharmaceuticals, Inc., on
their False Claims Act (“FCA”) claims and a subsequent ruling that partly
granted court costs to Solvay. For the reasons explained below, we AFFIRM.
2
I. Background
Relators are both former Solvay sales and marketing employees. Th

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United States of America v. Mark Johnson Federal Courthouse - Madison, Wisconsin

Madison, WI - Former Janesville Pharmacy Owner Sentenced for Health Care Fraud

Mark Johnson, 55, Janesville, Wis., was sentenced on September 1, 2017 by U.S. District Judge James Peterson to 24 months in federal prison for health care fraud. Johnson will begin serving his sentence in October.

On August 4, 2016, Johnson’s arrest was announced in conjunction with the unsealing o

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United States of America v. Chandra Wrightsell Federal Courthouse - Lincoln, Nebraska

Lincoln, NE - Nebraska Woman Sentenced in Health Care Fraud Case

Chandra Wrightsell, 47, of Omaha Nebraska, was sentenced on August 29, 2017 by Senior United States District Judge Richard G. Kopf for the crime of health care fraud. Wrightsell was sentenced to 18 months in prison, followed by 3 years of supervised release. She was also ordered to pay restitution to the Nebraska Department

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United States of America v. US Bioservices Corp. Federal Courthouse - New York, New York

New York, NY - Acting Manhattan U.S. Attorney Announces $13.4 Million Settlement Of Civil Healthcare Fraud Lawsuit Against US Bioservices Corp.

The United States settled a civil fraud case against US BIOSERVICES CORP. (“US BIO”) pursuant to which US BIO will pay a total of $13.4 million. The settlement resolves claims that US BIO violated the Anti-Kickback Statute and the False Claims Act

More...   $13400000 (09-06-2017 - NY)

United States, et al. ex rel. Elizabeth Kennedy, v. Novo A/S, et al

Washington, DC - Novo Nordisk Agrees to Pay $58 Million for Failure to Comply with FDA-Mandated Risk Program - Payments Resolve Allegations Highlighted in DOJ Civil Complaint and Recently Unsealed Whistleblower Actions

Pharmaceutical Manufacturer Novo Nordisk Inc. will pay $58.65 million to resolve allegations that the company failed to comply with the FDA-mandated Risk Evaluation and Mit

More...   $58000000 (09-05-2017 - dc)

United States of America v. Godwin Oriakhi Harris County Courthouse - Houston, Texas

Houston, TX - Houston Home Health Agency Owner Sentenced to 480 Months in Prison for Conspiring to Defraud Medicare and Medicaid of More Than $17 Million

The owner and operator of five Houston-area home health agencies was sentenced on August 18, 2017 to 480 months in prison for conspiring to defraud Medicare and the State of Texas’ Medicaid-funded Home and Community-Based Service (HCBS)

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United States of America v. Steven William Delia Eastern District of Oklahoma Federal Courthouse - Muskogee Oklahoma

Muskogee, OK Tulsa Man Sentenced To Time Served, $83,000 Restitution For Health Care Fraud

Steven William Delia, age 62, of Tulsa, Oklahoma, was sentenced to imprisonment, time served, 3 years supervised release, and ordered to pay $83,769.27 in restitution to the Oklahoma Health Care Authority for HEALTH CARE FRAUD, in violation of Title 18, United States Code, Section 1347.

The

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United States ex rel. Sanofi-Aventis US LLC v. Mylan Inc., et al. Federal Courthouse - Boston, Massachusetts

Boston, MA - Mylan Agrees to Pay $465 Million to Resolve False Claims Act Liability for Underpaying EpiPen Rebates

Pharmaceutical companies Mylan Inc. and Mylan Specialty L.P. have agreed to pay $465 million to resolve claims that they violated the False Claims Act by knowingly misclassifying EpiPen as a generic drug to avoid paying rebates owed primarily to Medicaid, the Justice Departme

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United States of America v. Jacques Roy

Dallas, TX - Dallas Doctor Sentenced on Health Care Fraud Conviction

A 60-year-old doctor from Rockwall, Texas, Jacques Roy, who was convicted in April 2016 of various health care fraud charges following a six-week-long trial, was sentenced on August 9, 2017 by U.S. District Judge Sam A. Lindsay to 420 months in federal prison and ordered to pay $268,147,699.15 in restitution, joint and s

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United States of America v. Lamar Taylor Federal Courthouse - Richmond, Virginia

Richmond, VA - Maryland Man Pleads Guilty to Medicaid Fraud, Tax Evasion

A Maryland man pleaded guilty on August 4, 2017 to conspiring to defraud Medicaid and evading both his personal income taxes and his company’s employment taxes.

According to the statement of facts filed with the plea agreement, Lamar Taylor, 39, of Bowie, was the owner and operator of Alexandria-based Global

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United States of America v. Chermeca Harris Federal Courthouse - Richmond, Virginia

Richmond, VA - Woman Pleads Guilty to Medicaid Fraud and Identity Theft Charges

A Richmond woman pleaded guilty today healthcare fraud and aggravated identity theft.

According to court documents, Chermeca Harris, 36, was a Medicaid beneficiary and would misrepresent her health condition to health care providers, such as hospitals and ambulance services, in order to obtain health

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United States of America v. Shephard Lee Spruill, II Federal Courthouse - Raleigh, North Carolina

Raleigh, NC - Pitt County Behavioral Health President Pleads Guilty to Medicaid Fraud Conspiracy and Perjury Charges

SHEPHARD LEE SPRUILL, II, 46, of Winterville, North Carolina, pleaded guilty on August 4, 2017 to Conspiracy to Commit Health Care Fraud, and Perjury. Under the terms of a plea agreement, SPRUILL faces up to 15 years in prison, $500,000 in fines, and 3 years of supervised r

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United States and the State of Georgia, ex rel. Andre Valentine v. Navicent Hospital, Inc. Federal Courthouse - Macon, Georgia

Macon, GA - Navicent Settles Ambulance Fraud Claims For Over $2.5MM

G.F. “Pete” Peterman, III, United States Attorney for the Middle District of Georgia, and Georgia Attorney General Christopher M. Carr announced on August 3, 2017 a civil settlement with The Medical Center of Central Georgia, Inc., d/b/a The Medical Center, Navicent Health (“Navicent”). Navicent agreed to pay to the Unite

More...   $2549742 (08-08-2017 - )

United States of America v. Viju Mathew and Mariamma Viju

Dallas, TX - Garland Couple Who Stole/Unlawfully Obtained Patient Identification Information Sentenced to Federal Prison Terms - Husband is a Former Parkland Hospital Employee and Wife is a Former Nurse at Baylor Medical Center in Dallas - Used Info toSolicit Patients for Their Home Health Agency

A former employee at Parkland Health and Hospital System in Dallas (Parkland), Viju Mathew, a

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United States of America v. Tammie M. Sensenig Federal Courthouse - Harrisburg, Pennsylvania

Harrisburg, PA - Denver Woman Sentenced To 46 Months’ Imprisonment For Health Care Fraud

Tammie Sensenig, age 46, of Denver, Pennsylvania was sentenced July 25, 2017, by United States District Court Judge William C. Caldwell to serve 46 months’ imprisonment for health care fraud.

According to United States Attorney Bruce D. Brandler, as a result of prior convictions relating to M

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United States of America v. Edwin L. Fuentes

Danville, VA - Danville Doctor Pleads Guilty to Healthcare Fraud, Tax Evasion Charges - Edwin Fuentes Billed Patients for Services Not Administered

A Danville doctor, who billed various insurers for services he never administered to patients, pled guilty on July 18, 2017 in the United States District Court for the Western District of Virginia in Danville to healthcare fraud and tax evas

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United States of America v. Kenneth Loem Rall and Michael Edward Richards Federal Courthouse - Jefferson City, Missouri

Jefferson City, MO - Two University of Missouri Physicians Plead Guilty to Health Care Fraud

Two physicians at the University of Missouri School of Medicine in Columbia, Mo., pleaded guilty in federal court, in separate cases, to engaging in a health care fraud scheme that totaled more than $190,000.

Kenneth Loem Rall, 82, and Michael Edward Richards, 65, both of Columbia, Mo., e

More...   $0 (07-21-2017 - OK)

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