Medicaid Law
 
United States of America v. Shalondria Simpson and Advance Pharmacy and TruCAre Pharmacy

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud, kickback, and money laundering.

Shalondria Simpson, 45, of Houston, is a pharmacist who owned and operated two pharmacies in Houston: Advance Pharmacy (Advance) and TruCare Pharmacy (TruCare). Simpson’s twin sister, physician Lashondria Simpson-Camp, 45, of Allen, Texas, allegedly referred ... More...
   $0 (09-26-2023 - TX)

United States of America v. Justin G. LaMonda

St. Louis, Missouri criminal defense lawyer represented the Defendant who was charged with making false statements relating to health care matters.

Justin G. LaMonda’s crimes originated after the Missouri Board of Registration for the Healing Arts suspended his medical license for 30 days in 2017 after he was accused of engaging in sexual activity with his office manager and prescribing... More...
   $0 (09-14-2023 - MO)

Krystin Butler ex rel. United States of America, et al. v. Michael K. Chrism, II and Mile High Psychiatry, LLC

Denver, Colorado fraud claim defense lawyer represented Defendants charged with violating the False Claims Act.

Michael K. Chism, II and Mile High Psychiatry, LLC were accused of violating the False Claims Act by knowingly double-billing time in order to unlawfully obtain increased payments from Medicare and Medicaid.

Mile High Psychiatry is a Colorado company located in Aurora t... More...
   $0 (09-12-2023 - CO)

United States of America v. Rajendra Bothra, M.D., Pain Center USA, P.L.L.C. and Interventional Pain Center, P.L.L.C.

Detroit, Michigan civil litigation lawyer represented Defendant with violating the Qui Tam False Claims Act by billing Medicare and Medicaid for for unnecessary treatments, drug tests and braces.

A Michigan interventional pain management specialist, Rajendra Bothra, M.D., and two medical entities that he owned and operated, The Pain Center USA, PLLC, and Interventional Pain Center, PLLC,... More...
   $0 (08-30-2023 - MI)

United States of America v. Nina Bourrett

Columbia, South Carolina criminal defense lawyer represented Defendant charged with making false and fraudulent statements on claims submitted to Medicaid.

Nina Bourret, 41, of Greenville, was an owner of Agapi Behavior Consultants, Inc., which provided Applied Behavior Analysis therapy to treat Autism Spectrum Disorder. From February 2021 to December 2022, Bourret submitted electronic c... More...
   $0 (08-25-2023 - SC)

B.C.R. v. Social Security Administration

Milwaukee, Wisconsin social security disability lawyer represented Plaintiff seeking review of the denial by HHS of his application for Social Security: SSID Tit. XVI benefits.

"The acronym SSID stands for Supplemental Security Income, which is a different program from Title XVI of the Social Security Act.

Title XVI is the part of the Social Security Act that establishes the ... More...
   $0 (08-16-2023 - WI)

United States of America v. Air Methods Corporation

Lexington, Kentucky criminal defense lawyer represented Defendant charged with failing to return known overpayments received from Medicare, Kentucky Medicaid, Tricare, and the Department of Veterans Affairs in violation of the False Claims Act.

The United States alleged that Air Methods violated the False Claims Act, by improperly retaining overpayments for more than 100 flights that it ... More...
   $1000000 (08-15-2023 - KY)

M.C.P. v. Social Security Administration

Albany, New York social security disability lawyer represented Plaintiff seeking review of the denial of his application for Social Security: SSID Tit. XVI benefits by HHS.

"SSID stands for Supplemental Security Income. It is a federal program that provides monthly cash benefits to low-income adults and children with disabilities. To be eligible for SSID benefits, you must meet the follow... More...
   $0 (08-11-2023 - NY)

TCK v. Social Security Administration

Richmond, Virginia social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: SSID Tit. XVI by HHS.

"Title XVI of the Social Security Act, also known as the Supplemental Security Income (SSI) program, is a federal program that provides financial assistance to low-income individuals and families who are aged, blind, or disab... More...
   $0 (08-03-2023 - VA)

Jibril Dallas Salami v. Commissioner of the Social Security Administration

Dallas, Texas social security disability lawyer represented Plaintiff seeking review of the denial of his application for Social Security: SSID Title XVI benefits.

Supplemental Security Income (SSI) is a federal program that provides cash payments to individuals who are elderly, blind, or disabled and have low incomes. In addition to the federal payment, some states add a small supplemen... More...
   $0 (07-24-2023 - TX)

United States of America v. Recovery Services, LLC

Lexington, Kentucky civil litigation lawyer represented Defendant accused of violating the False Claims Act,

a federal law that prohibits causing the submission of false or fraudulent claims to the federal government.

The United States alleged that Recovery Services, LLC, formerly known as Recovery Chestnut, billed Kentucky Medicaid for urine drug screens for patients who did ... More...
   $300000 (07-17-2023 - KY)

United States of America ex rel. Toby Markowitz and Elizabeth Ringold v. NextGen Healthcare, Inc.

Burlington, Vermont civil litigation lawyers represented Defendant accused of violating the False Claims Act by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software.

“Electronic health records are an essential part of our healthcare system” said Principal Deputy Assis... More...
   $0 (07-14-2023 - VT)

Janice Progin v. UMass Memorial Health Care Inc., et al.

Worcester, Massachusetts civil rights lawyer represented Plaintiff who sued defendant on a job discrimination theory.

Janice Progin filed this putative class action in Massachusetts Superior Court against UMass Memorial Health Care, Inc., UMass Memorial Hospitals, Inc., UMass Memorial Medical Center, Inc., UMass Memorial HealthAlliance-Clinton Hospital, Inc., Marlborough Hospital, and Har... More...
   $0 (07-14-2023 - MA)

Kathleen K. McMillian v. Social Security Administration

Fort Worth, Texas social security disability lawyer represented Plaintiff seeking review of the denial by HHS of her application for Social Security: SSID Title XVI benefits.

Social Security SSID Title XVI benefits, also known as Supplemental Security Income (SSI), is a federal program that provides cash payments to low-income individuals who are blind, disabled, or aged (65 years or olde... More...
   $0 (07-13-2023 - TX)

United States of America v. Jessica Joyce Spayd

Anchorage, Alaska criminal defense lawyer represented Defendant charged with r illegally prescribing and dispensing opioids outside the scope of legitimate medical practice that resulted in the deaths of five people between 2014 and 2019.

A jury convicted Jessica Joyce Spayd, age 52, on October 27, 2022, of 10 crimes including five counts of illegal drug distribution that resulted in de... More...
   $0 (06-28-2023 - AK)

United States of America v. Christian Agno Aquino

Houston, Texas criminal defense lawyer represented Defendant charged with Medicaid fraud and paying kickbacks.

Gaviola was the operator, while Ozoh and Aquino were managers of Floss Family Dental Care clinic located in Houston. The superseding indictment alleges Gaviola and other employees submitted fraudulent claims to Medicaid for pediatric dental services, including numerous cavity fi... More...
   $0 (06-14-2023 - TX)

United States of America v. Rachel Peay-Goodman

Boise, Idaho criminal defense lawyer represented Defendant charged with unlawfully prescribing controlled substances and submitting false claims to Medicare while working for AmeriHealth in Pocatello.

Rachel Peay-Goodman, a nurse practitioner in eastern Idaho, wrote prescriptions for dangerous combinations of drugs to at least one patient, including simultaneous prescriptions for oxycodo... More...
   $0 (06-13-2023 - ID)

Brittany L. Mogan v. Social Security Administration

Rochester, New York social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefits by HHS.

"DIWC and DIWW are types of Social Security Disability benefits that are available to certain disabled workers and their widows or widowers.

DIWC stands for Disabled Individual with Children. To qualify for DIW... More...
   $0 (06-12-2023 - NY)

United States of America v. Billy Joe Taylor

Fort Smith, Arkansas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud and money laundering.

Billy Joe Taylor, age 44, pleaded guilty to conspiracy to commit health care fraud and money laundering on October 27, 2022. According to court documents, Taylor and his co-conspirators submitted more than $134 million in false and fraudulent claims... More...
   $0 (06-09-2023 - AR)

United States of America v. Akintunde Oyewale

Houston, Texas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud.

Akintunde Oyewale, Richmond, pleaded guilty Feb. 1, 2022.

U.S. District Judge David Hittner ordered he serve 57 months in federal prison to be immediately followed by three years of supervised release. At the hearing, the defense requested a reduced sentence due to ... More...
   $0 (05-30-2023 - TX)

United States of America v. Kenneth Wiseman, P.D. and Steven Schmidt, D.O.

Philadelphia, Pennsylvania civil litigation lawyers represented Defendants accused to violating the False Claims Act allegations that they caused the submission of false claims by misrepresenting the severity of illness and services rendered to increase reimbursement from the Medicare Part C (Medicare Advantage) and Part B programs.

Defendants did business as "CPA," a primary care phy... More...
   $1500000 (05-26-2023 - PA)

United States of America v. Complete Physician Services, Kenneth Wiseman, DO, and Steven Schmidt, DO

Philadelphia, Pennsylvania criminal defense lawyer represented Defendants accused of submitting false claims by misrepresenting the severity of illness and services rendered to increase reimbursement from the Medicare Part C (Medicare Advantage) and Part B programs.

CPS, a primary care physician practice located in Philadelphia, treated patients under the Medicare Advantage program and ... More...
   $0 (05-25-2023 - PA)

United States of America v. Kevin A. Clay

Toldeo, Ohio criminal defense lawyer represented Defendant charged with conspiracy, healthcare fraud, and making a false statement on an application for charitable tax-exempt status with the IRS.

Kevin A. Clay, age 39, of Perrysburg, Ohio, was the co-owner of Theramedical, LLC, a pharmaceutical marketing company specializing in compounded pain and scar cream. The evidence showed that Clay... More...
   $0 (05-25-2023 - OH)

United States of America v. Stamatina Bourrett a/k/a Nina Bourret

Columbia, South Carolina criminal defense lawyer represented Defendant charged with medicaid fraud.

Bourret, through her company Agapi Behavior Consultants, billed Medicaid for services to treat Autism Spectrum Disorder that were either not rendered and/or a portion of the services billed to Medicaid were not provided.

Stamatina Bourret a/k/a Nina Bourret, 41, of Greenville, Sou... More...
   $0 (05-17-2023 - SC)

United States of America v. Krystal Lopez, et al.

Baltimore, Maryland criminal defense lawyer represented Defendant charged with participation in a scheme that created an illegal licensing and employment shortcut for aspiring nurses have pled guilty to wire fraud conspiracy.

Krystal Lopez and Damian Lopez (both of Palm Beach County, Fla.); Francois Legagneur (of Nassau County, N.Y.), Reynoso Seide (of Union County, N.J.); and Yelva Sain... More...
   $0 (05-16-2023 - FL)

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