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)

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)

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)

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)

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)

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)

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)

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)

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)

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)

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)

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 - )

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)

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)

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)

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)

Raleigh, NC - Women Sentenced to Imprisonment for Conspiring with Tax Preparer to File More Than $1.5 Million in Fraudulent Refunds

Chief United States District Judge James C. Dever III sentenced alicia johnson jenkins, 35, of Kinston, to 60 months imprisonment followed by 3 years of supervised released and was ordered to pay $1,759,830 to the IRS. KIAWANNA MONIKA LANGLEY, 33, of Greenvi... More...   $0 (05-02-2017 - NC)

Phoenix, AZ - Chandler Man Sentenced to Prison for Health Care Fraud and Identity Theft

Elseddig Elmarioud Musa, 43, of Chandler, Ariz., was sentenced by U.S. District Judge Douglas L. Rayes to 57 months in federal prison and three years of supervised release. Musa also was ordered to pay more than $1.2 million in restitution. Musa was convicted by a jury of 35 counts of health care fraud... More...   $0 (05-01-2017 - AZ)

Delacruz and Julie Ann Gonzales had a daughter, L.D., and married young. In
December 2009, shortly after they married, Julie filed for divorce. On March 26, 2010, Julie went
to pick up L.D. from Delacruz’s house and was never seen or heard from again.
Because an initial investigation revealed (1) no evidence of foul play and
(2) messages that had been sent from Julie’s cell phone... More...   $0 (04-26-2017 - TX)

On March 5, 2014, a Hays County grand jury indicted Donaldson in cause number
CR-14-0122 for two offenses: credit card abuse committed against an elderly individual, see Tex.
Penal Code § 32.31(b), (d), and fraudulent use or possession of identifying information of less than
five items committed against an elderly individual, see id. § 32.51(b)(1), (c)(1), (c-1)(1).
On November 5,... More...   $0 (04-26-2017 - TX)

Los Angeles, CA - The owner of The Skin Cancer Medical Center in Encino has paid the United States nearly $2.7 million to resolve allegations that he submitted bills to Medicare for Mohs micrographic surgeries for skin cancers that were medically unnecessary.

Dr. Norman A. Brooks, M.D., a dermatologist and surgeon, paid the $2,681,400 settlement on April 10.

The settlement, whic... More...   $2681400 (04-23-2017 - CA)

Sacramento, CA - Whistleblower Case Against Walgreens Results in $9.9 Million Settlement

Retail pharmacy chain Walgreens has agreed with the California Department of Justice, the United States Department of Justice, and Whistleblower Loyd F. Schmuckley, Jr. to settle civil allegations of false claims fraud for $9.9 million. Whistleblower “Skip” Schmuckley, who is represented by attorneys... More...   $9900000 (04-20-2017 - CA)

The jury heard evidence that Douglas owned and operated a company, North Texas
Medical Evaluators (NTME), that provided workers’-compensation-related medical services to
entities that were insured by TMIC. One such service, and the one at issue in this case, was the
Functional Capacity Evaluation (FCE), a medical evaluation used to determine an injured worker’s
ability to return t... More...   $0 (04-18-2017 - TX)

Seattle, WA - resham Medical Practice Manager Sentenced to Prison for False Billing and Tax Fraud

United States District Court Judge Robert E. Jones sentenced Anthony C. Neal to one year and one day in federal prison followed by three years of supervised release. Neal pleaded guilty in July 2016 to engaging in a seven-year health care fraud scheme and conspiring to defraud the Internal Re... More...   $0 (04-09-2017 - OR)

Hartford, CT - New Haven Man Sentenced to 9 Years in Prison for Role in Fraudulent Oxycodone Prescription Scheme

Julian Cintron, also known as “Papi” and Jay,” 37, of New Haven, was sentenced to 108 months of imprisonment, followed by three years of supervised release, for his leadership role in a scheme to distribute oxycodone that was obtained through fraudulent prescriptions.

... More...   $0 (04-03-2017 - CT)