Medicaid Law
 
Shephard Mapolisa v. The State of Texas FIFTH COURT OF APPEALS IN DALLAS

Appellant and his wife had been separated for three years when appellant agreed to let
her stay in his apartment temporarily. One evening, they got into a heated discussion about
appellant’s romantic involvement with another woman. Appellant became angry, jumped over
an ottoman and on top of Wife, and “grabbed, clawed, scratched, and pulled at her” while
attempting to throw h

More...   $0 (07-19-2017 - TX)

Shephard Mapolisa v. The State of Texas

Appellant and his wife had been separated for three years when appellant agreed to let
her stay in his apartment temporarily. One evening, they got into a heated discussion about
appellant’s romantic involvement with another woman. Appellant became angry, jumped over
an ottoman and on top of Wife, and “grabbed, clawed, scratched, and pulled at her” while
attempting to throw h

More...   $0 (07-19-2017 - TX)

United States ex rel. Bourne and Goodwin v. Brian Colleran, et. al.

Cincinnati, OH - Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

Ohio based Foundations Health Solutions Inc. (FHS), Olympia Therapy Inc. (Olympia), and Tridia Hospice Care Inc. (Tridia), and their executives, Brian Colleran (Colleran) and Daniel Parker (Parker), have agreed to pay app

More...   $0 (07-18-2017 - OK)

Vladimir Trakhter v. Provider Services, Inc., n/k/a BCFL Holdings, Inc., et. al.

Cincinnati, OH - Three Companies and Their Executives Pay $19.5 Million to Resolve False Claims Act Allegations Pertaining to Rehabilitation Therapy and Hospice Services

Ohio based Foundations Health Solutions Inc. (FHS), Olympia Therapy Inc. (Olympia), and Tridia Hospice Care Inc. (Tridia), and their executives, Brian Colleran (Colleran) and Daniel Parker (Parker), have agreed to pay app

More...   $0 (07-18-2017 - OH)

E. Peter Healey v. Edwin N. Healey, Elizabeth Healey and Michael R. Healey

E. Peter Healey (Pete) appeals from an adverse judgment rendered after a jury trial in this family dispute involving duty and money. Initially brought by his father, Edwin N. Healey (Bud), against Pete and his brothers Paul C. Healey and Mark J. Healey, the suit widened when Pete named his siblings, Elizabeth Healey (Liza) and Michael R. Healey (Mike) as third-party defendants. Pete asserts ten is

More...   $0 (07-12-2017 - TX)

United States of America v. Roberto A. Fernandez, M.D. Federal Courthouse - Miami, Florida

Miami, FL - Miami-Based Physician Pleads Guilty for Role in Pain Pill Diversion and Medicare Fraud Scheme

A licensed physician in Miami pleaded guilty in federal court July 11, 2017 for his role in a multi-faceted $4.8 million health care fraud scheme that ran from April 2011 to February 2017, involving the submission of false and fraudulent claims to Medicare and the illegal prescribing

More...   $0 (07-13-2017 - FL)

United States of America v. Michael Tobak Federal Courthouse - Minneapolis, Minnesota

Minneapolis, MN - Home Health Care Business Owner Sentenced To Two Years In Prison For Tax Fraud

Michael Tobak, 55, to two years in prison for filing a false tax return. TOBAK pleaded guilty on November 7, 2016, and was sentenced on June 29, 2017, before U.S. District Judge Joan N. Ericksen in U.S. District Court in Minneapolis, Minn.

According to the defendant’s guilty plea and

More...   $0 (07-11-2017 - MN)

United States of America v. Wal-Mart Stores, Inc. Federal Courthouse - Sacramento, California

Sacramento, CA - Wal-Mart Pays $1.65M to Settle False Claims Act Allegations of Improper Medi Cal Billings

Wal-Mart Stores Inc. has paid $1.65 million to resolve allegations that it violated the federal False Claims Act when it knowingly submitted claims for reimbursement to California’s Medi‑Cal program that were not supported by applicable diagnosis and documentation requirements.

More...   $1650000 (07-09-2017 - CA)

United States of America v. Dawn Bentley Federal Courthouse - Detroit, Michigan

Detroit, MI - Detroit Area Medical Biller Sentenced to 50 Months in Prison for Her Role in a $7.3 Million Dollar Healthcare Fraud Scheme

A Detroit-area medical biller was sentenced to 50 months in prison for her role in a $7.3 million Medicare and Medicaid fraud scheme involving medical services that were billed to Medicare and Medicaid but not rendered as billed.

Dawn Bentley,

More...   $0 (06-30-2017 - MI)

United States of America v. Dr. Anindya Sen and Patricia Posey Sen Federal Courthouse - Knoxville, Tennessee

Knoxville, TN - Physician and Wife to Pay $1.2 Million to Settle False Claims Act Allegations that They Billed Medicare and Medicaid for Unapproved Drugs

Dr. Anindya Sen and Patricia Posey Sen will pay $1.208 million to resolve state and federal False Claims Act allegations that their medical practice billed Medicare and Tennessee Medicaid (TennCare) for anticancer and infusion drugs that

More...   $1200000 (06-29-2017 - TN)

United States of America v. Dr. James M. Crumb, Mobility Metabolism and Wellness, P.C. and Coastal Neurological Institute, P.C. Federal Courthouse - Mobile, Alabama

Mobile, AL - Local Physician, Dr. James M. Crumb, and Mobile Based Physician Group, Coastal Neurological Institute, P.C., paid $1.4 million to Settle False Claims Act Allegations

Dr. James M. Crumb, a Physical Medicine and Rehabilitative specialist currently practicing in Mobile, Alabama as Mobility Metabolism and Wellness, P.C. (MMW), and Coastal Neurological Institute, P.C. (CNI), a loc

More...   $1400000 (06-27-2017 - AL)

United States of America v. Dr. Miguel Burgos and and Yosbel Marimon Federal Courthouse - Orlando, Florida

Orlando, FL - Orlando Doctor and Infusion Clinic Owner Sentenced to 64 Months and 90 Months in Prison for Role in Medicare Fraud

An Orlando medical doctor and an infusion clinic owner were sentenced to 64 months in prison and two years supervised release, and 90 months and two years supervised release, respectively, today for their roles in a $13.7 million Medicare fraud conspiracy that i

More...   $0 (06-27-2017 - FL)

United States of America v. Elizabeth Jones Powell Federal Courthouse - Helena, Montana

Helena, MT - East Helena Woman Sentenced to Five Years in Prison for Health Care Fraud and Tax Evasion

Elizabeth Jones Powell, 52, of East Helena, Montana, was sentenced to five years imprisonment and three years supervised release for health care fraud and tax evasion. She was also ordered to pay $420,891.08 to four insurers and $43,514 to the Internal Revenue Service. U.S. District Co

More...   $0 (06-13-2017 - MT)

United States v. Cherie R. Dillon Federal Courthouse - Boise, Idaho

Boise, ID - Fruitland Woman Sentenced to 60 Months in Prison for Health Care Fraud and Aggravated Identity Theft

Cherie R. Dillon, 62, of Fruitland, Idaho, was sentenced to 60 months in prison to be followed by three years of supervised released for health care fraud and aggravated identity theft. Chief U.S. District Judge B. Lynn Winmill also ordered Dillon to pay restitution in the amou

More...   $0 (06-07-2017 - ID)

United States of America v. Wilbert James Veasey

Dallas, TX - Owner of Apple of Your Eye Healthcare Services, Inc. Sentenced to 210 Months in Federal Prison for Role in Healthcare Fraud Conspiracy

Wilbert James Veasey, Jr., 65, of Dallas, was sentenced on a health care fraud conspiracy conviction.

Veasey was sentenced by U.S. District Judge Sam A. Lindsay to 210 months in federal prison and order to pay $23,123,897.18 in restit

More...   $0 (06-13-2017 - TX)

United States of America v. Mildrey Gonzalez and Milka Alfaro Federal Courthouse - Miami, Florida

Miami, FL - Mother and Daughter Co-Owners of Seven Miami, Florida-Area Home Health Agencies Each Sentenced to Over 10 Years in Prison for Roles in $20 Million Home Health Care Fraud Schemes

A mother and daughter who secretly co-owned and operated seven home health care agencies in the Miami, Florida area were each sentenced to over 10 years in prison for their roles in a $20 million Medic

More...   $0 (06-15-2017 - FL)

Safe Streets Alliance v. John W. Hickenlooper Tenth Circuit Court of Appeals - Denver, Colorado

These three appeals arise from two cases that concern the passage,
implementation, and alleged effects of Amendment 64 to the Colorado Constitution,
Colo. Const. art. XVIII, § 16. Amendment 64 repealed many of the State’s criminal and
civil proscriptions on “recreational marijuana,”1 and created a regulatory regime designed
to ensure that marijuana is unadulterated and taxed, and t

More...   $0 (06-07-2017 - CO)

United States of America v. Zaven “George” Sarkisian and Konna Hanks United State District Court for the Southern District of Texas - Houston

Houston, TX - Medicare Fraudster Given Maximum Prison Sentence

A Houston woman and a California man have been ordered to federal prison for conspiring to defraud Medicare through so-called diagnostic testing labs in the Houston area. Zaven “George” Sarkisian, 55, of Fresno, California, and Konna Hanks, 48, of Houston, pleaded guilty Dec. 9 and 2, 2015, respectively.

U.S. District

More...   $0 (06-04-2017 - TX)

Rahmatullah Basha Syed v. Khadija Masihuddin

Appellant, Rahmatullah Basha Syed, appeals the trial court’s final decree of divorce terminating his marriage to appellee, Khadija Masihuddin. In three issues, Syed challenges the portion of the trial court’s decree finding that deviating from the standard possession order was in his minor children’s best interest and ordering
2
that he have possession of or access to the children on the S

More...   $0 (05-18-2017 - TX)

Karen Vanover v. NCO Financial Services, Inc.

Plaintiff-Appellant Karen Vanover (“Vanover”) sued Defendant-Appellee NCO Financial Systems, Inc. (“NCO”), on April 23, 2014, for violations of the Telephone Consumer Protection Act (“TCPA”), 47 U.S.C. § 227, after NCO attempted to collect medical debts from her. See Vanover v. NCO Fin. Sys., Inc., Case No. 8:14-cv-964-T-35EAJ (M.D. Fla. 2014) (hereinafter “Vanover I”). Nearly one year after Vanov

More...   $0 (05-18-2017 - )

United States of America v. Riaz Mazcuri United State District Court for the Southern District of Texas - Houston

Houston, TX - Houston-Area Psychiatrist Convicted of Health Care Fraud for Role in $158 Million Medicare Fraud Scheme

A federal jury convicted a Houston-area psychiatrist today for his role in a $158 million Medicare fraud scheme.  

After a five-day trial, Riaz Mazcuri, 65, of Harris County, Texas, was convicted of one count of conspiracy to commit health care fraud

More...   $0 (05-24-2017 - TX)

McCulloch Orthopaedic Surgical Services, LLC, a/k/a Dr. Kenneth E. McCulloch v. Aetna, Inc. d/b/a Aetna Health and Life Insurance Company, et al.

19 We consider in this case whether the Employee Retirement
20 Income Security Act of 1974 (“ERISA”), 29 U.S.C. §§ 1001 et seq.,
21 completely preempts an “out‐of‐network” health care provider’s
22 promissory‐estoppel claim against a health insurer where the
23 provider (1) did not receive a valid assignment for payment under
3 No. 15‐2150‐cv
t

More...   $0 (05-18-2017 - NY)

United States of America v. Gerald Daneshvar, M.D. Eastern District of Michigan Federal Courthouse - Detroit, Michigan

Detroit, MI - Third Detroit-Area Physician Convicted in $17.1 Million Health Care Fraud Scheme

A third Detroit-area physician was convicted today for his role in a $17 million Medicare fraud scheme involving medically unnecessary physician visits.

Gerald Daneshvar, M.D., 40, of West Bloomfield, Michigan, was convicted of one count of conspiracy to commit health care fraud after

More...   $0 (05-11-2017 - MI)

United States of America v. Aleksandr Burman, a/k/a "Alexander Burman" Federal Courthouse - New York, New York

New York, NY - MANHATTAN MAN SENTENCED TO 10 YEARS IN PRISON FOR $26 MILLION SCHEME TO DEFRAUD MEDICARE AND MEDICAID

Defendant Established Six Clinics in Brooklyn that Paid Elderly People to Pose as Patients, and Billed Medicare and
Medicaid For Unnecessary and Non-Existent Medical Care and Equipment

Aleksandr Burman, a/k/a “Alexander Burman,” was sentenced by U.S. District

More...   $0 (05-11-2017 - NY)

United States of America v. Gerard Dengler and Suzanne Dengler Federal Courtroom - Tyler, Texas

Tyler, TX - Smith County Husband and Wife Sentenced in Health Care Fraud Conspiracy

A Smith County couple was sentenced for health care fraud violations in the Eastern District of Texas.

Gerard Dengler, 61, and Suzanne Dengler 52, of Tyler, Texas, pleaded guilty on Jan. 10, 2017, to conspiring to commit health care fraudand were sentenced today by U.S. District Judge Thad Heartf

More...   $0 (05-06-2017 - TX)

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AK Morlan
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