Medicaid Law
 
United States of America v. Medstar Ambulance, Inc.

Boston, MA - Medstar Ambulance to Pay $12.7 Million to Resolve False Claims Act Allegations Involving Medically Unnecessary Transport Services and Inflated Claims to Medicare

Medstar Ambulance Inc., including four subsidiary companies and its two owners, Nicholas and Gregory Melehov, have agreed to pay $12.7 million to resolve allegations that the Massachusetts-based ambulance company kno

More...   $12700000 (01-19-2017 - MA)

United States of America v. Cody Lee West

Topeka, KS - Medical Imaging Provider Sentenced for Federal Health Care Fraud

A man who owned a medical imaging business was sentenced Thursday to 18 months in federal prison. In addition, the defendant was ordered to pay more than $1.5 million in restitution to Medicare and Medicaid.

Cody Lee West, 38, Paragould, Ark., owner of C & S Imaging, Inc., pleaded guilty to one count of

More...   $0 (01-17-2017 - KS)

United States of America v. Gerard Dengle and Suzanne Dengler

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

A Smith County couple pleaded guilty to charges of health care fraud.

Gerard Dengler, 61, and Suzanne Dengler, 52, of Tyler, Texas, pleaded guilty to conspiring to commit health care fraud.

According to information presented in Court, the Denglers owned and operated Elite Lab Services, a cl

More...   $0 (01-15-2017 - TX)

United States of America v. Randy Crowell

New York, NY - Owner Of Utah-Based Pharmaceutical Distributer Pleads Guilty To $100 Million Health Care Fraud Scheme

Randy Crowell, a/k/a "Roger," pled guilty today before United States District Judge Edgardo Ramos to fraudulently distributing more than $100 million worth of prescription drugs obtained on a nationwide black market. CROWELL used a Utah-based wholesale distribution company

More...   $0 (01-11-2017 - NY)

United States of America v. Deborah A. Gray and Keith B. Gray, II

Oklahoma City, OK - Oklahoma City Mother and Son Plead Guilty to Defrauding Medicaid Out Of Nearly $770,000

Deborah A. Gray, 60, and Keith B. Gray, II, 26, both of Oklahoma City, each pleaded guilty to three counts of health care fraud in connection with submitting false claims to Medicaid for behavioral health counseling services.

On July 6, 2016, Deborah Gray and Keith Gray wer

More...   $0 (01-07-2017 - OK)

United States of America v. Jessica Lynn Roloson

Cedar Rapids, IA - Central City Woman Sentenced to 14 Months in Federal Prison for Defrauding Her Grandfather

A Central City Woman who stole her grandfather’s identity to obtain credit cards in his name and make over $27,000 in purchases was sentenced today to 14 months in federal prison.

Jessica Lynn Roloson, 41, received the prison term after an August 11, 2016 guilty plea to o

More...   $0 (12-31-2016 - IA)

United States of America v. Dennis Barson, Jr. and Dario Juarez

Defendants appeal their convictions for conspiracy to commit health care fraud and several substantive counts of health care fraud. Defendants primarily challenge the sufficiency of the evidence, the court’s deliberate ignorance jury instruction , a number of evidentiary rulings, and the enhancements applied to their sentences. We AFFIRM. I. Defendants Dennis Barson, Jr. and Dario Juarez were

More...   $0 (12-29-2016 - TX)

United States ex rel. Malcolm v. Elite Lab Services, LLC, et al.

Tyler, TX - East Texas Laboratory Company and Owners Agree to $3.75 Million Payment for False Medicare Claims

Elite Lab Services, LLC, along with its husband-and-wife owners Gerard and Suzanne Dengler, will pay the United States $3.75 million after billing Medicare for tens of thousands of miles that were never driven by Elite Lab’s personnel.

“The United States Attorney’s Office

More...   $3750000 (12-25-2016 - TX)

United States of America v. Donnie Lee Phillips, II

Wilmington, NC - Pitt County Medicaid Biller Sentenced to 9 Years in Federal Prison for Participation in Medicaid Fraud Conspiracy

DONNIE LEE PHILLIPS, II, 37, of Greenville, North Carolina, was sentenced to 108 months in federal prison and 3 years of supervised release following his prior guilty plea to Health Care Fraud Conspiracy and Aggravated Identity Theft. PHILLIPS was also ordere

More...   $0 (12-23-2016 - NC)

United States of America v. Dr. Charlton Peter

Nashville, TN - Middle Tennessee Podiatrist Pleads Guilty to Health Care Fraud -
Doctor Admits Submitting Claims for Procedures He Never Actually Performed

Dr. Charlton Peter, 59, of Lewisburg, Tenn., pleaded guilty to two counts of health care fraud.

In a plea hearing before U.S. District Judge Waverly D. Crenshaw, Jr., Peter, a podiatrist, admitted that he submitted claim

More...   $0 (12-22-2016 - TN)

United States of America v. Lynn E. Madsen, M.D.

Burlington, VT - Physician Pays $76,000 To The United States To Resolve Allegations Of False Claims Act Violations

Lynn E. Madsen, M.D., of Townshend, Vermont, has paid $76,000 to the United States to resolve allegations that she violated the federal False Claims Act, 31 U.S.C. § 3729, by knowingly presenting, or causing to be presented, false claims for payment to Medicare and Medicaid.

More...   $0 (12-13-2016 - VT)

United States of America v. Dr. Charlton Peter

Nashville, TN - Middle Tennessee Podiatrist Pleads Guilty to Health Care Fraud - Doctor Admits Submitting Claims for Procedures He Never Actually Performed

Dr. Charlton Peter, 59, of Lewisburg, Tenn., pleaded guilty to two counts of health care fraud.

In a plea hearing before U.S. District Judge Waverly D. Crenshaw, Jr., Peter, a podiatrist, admitted that he submitted claims to

More...   $0 (12-15-2016 - TN)

Sam Autry Fletcher v. The State of Texas

On December 1, 2012, Hugo Iguirre picked up his wife Ivette from her night
job, and they then went to Ivette’s brother’s house—where they were staying the
night—arriving about 3:30 a.m. A small, white SUV sped up and parked behind
them. Ivette believed the vehicle to be a Dodge Nitro or similar model. Four or
five men jumped out carrying rifles and claiming to be police. Th

More...   $0 (12-08-2016 - TX)

United States of America v. Eyeland Optical Centers

Philadelphia, PA - United States Settles With Eyeland Optical Centers Over Medicaid False Claims

The United States announces that it has settled allegations under the False Claims Act with Eyeland Optical Centers, a chain of eye care centers in Pennsylvania. The settlement resolves allegations that Eyeland had billed Medicaid for more than four lenses per year, in violation of Pennsylvan

More...   $0 (12-06-2016 - PA)

PARKVIEW ADVENTIST MEDICAL CENTER, Appellant, v. UNITED STATES OF AMERICA, on behalf of the Department of Health and Human Services, Centers for Medicare & Medicaid Services

This is an important case resting at the intersection of the Bankruptcy Code and Medicare law. It
concerns the efforts of the Parkview Adventist Medical Center ("Parkview") in Brunswick, Maine, which filed for bankruptcy on June 16, 2015, to use the Bankruptcy Code to challenge the actions of appellee United States, through the Centers for Medicare & Medicaid Services ("CMS"), in terminating

More...   $0 (11-29-2016 - ME)

United States of America v. Emeritus Corporation, dba Emeritus Senior Living

Seattle, WA - Assisted Living Chain “Emeritus” Settles Allegations of Overbilling Government Programs

Former Washington State based Company Failed to return Overpayments

The United States Department of Justice and Emeritus Corporation, dba Emeritus Senior Living, settled claims that Emeritus had failed to refund to the U.S. overpayments for Medicaid services. Under the terms of

More...   $979000 (11-27-2016 - WA)

United States of America v. Sylvia Begay and Virgil Begay

Phoenix, AZ - Fort Defiance Couple Sentenced to Prison for Health Care Fraud

Sylvia Begay, 50, of Fort Defiance, Ariz., was sentenced to 28 months in federal prison, followed by a three-year term of supervised release, and ordered to pay more than $2.1 million in restitution. Additionally, Virgil Begay, 53, of Fort Defiance, Ariz., was sentenced by U.S. District Judge G. Murray Snow to

More...   $0 (11-24-2016 - AZ)

United States of America v. Robin Renee Haigler

San Antonio, TX - Waco Woman and Former DTS Medical Supply Company Employee Sentenced to Federal Prison in Connection with $4.5 Million Health Care Fraud Scheme

Robin Renee Haigler, 60-year-old former customer recruiter in the Waco area for DTS Medical Supply Company in Devine, TX, was sentenced to 87 months in federal prison for her role in an estimated $4.5 million Health Care Fraud sch

More...   $3269300 (11-11-2016 - TX)

United States of America v. Kian Gohari

New York, NY - Pharmacist Kian Gohari Convicted In Manhattan Federal Court For Conspiring To Distribute Oxycodone And Conspiring To Commit Healthcare Fraud

Kian Gohari was convicted of narcotics and healthcare fraud charges for his role in a conspiracy to distribute medically unnecessary oxycodone pills and fraudulently bill Medicaid for those oxycodone pills. The jury convicted GOHARI f

More...   $0 (11-10-2016 - NY)

BRANDON ROBERTS v. STATE OF MISSOURI

Roberts was charged and tried for one count of stealing, section 570.030, arising out of his unlawful receipt of certain benefits from the Missouri Department of Social Services, Family Support Division (the "Department"). On August 23, 2010, Roberts completed and submitted an application for benefits with Melissa Smolke ("Smolke"), eligibility specialist with the Department. Based on the in

More...   $0 (10-27-2016 - MO)

United States of America v. Hudson Valley Associates, R.L.L.P.

New York, NY - Manhattan U.S. Attorney Announces $5.31 Million Civil Settlement Against Hematology-Oncology Medical Practice For Submitting False Claims To Medicare And Medicaid

Hudson Valley Associates, agreed to pay $5.31 million to settle a civil fraud lawsuit filed against it by the United States of America. The settlement resolved claims brought under the False Claims Act, alleging

More...   $5310000 (10-25-2016 - NY)

United States of America v. Richard Lee Hauser, M.D.

Des Monies, IA - Former Central Iowa Psychiatrist Pleads Guilty to Health Care Fraud

Richard Lee Hauser, M.D., 66, of North Liberty, Iowa, pleaded guilty to two counts of health care fraud.

According to the plea agreement, from about October 2008 until about August 2013, Dr. Hauser, a psychiatrist licensed to practice in Iowa, oversaw and personally provided services at a clinic

More...   $0 (10-24-2016 - IA)

United States of America v. Valery Bogomolny

Los Angeles, CA - Owner of Los Angeles Medical Supply Company Sentenced to 5 Years in Federal Prison for Multimillion-Dollar Medicare Fraud Scheme

A West Los Angeles man who was the owner of a medical supply company has been sentenced to five years in federal prison for his role in a scheme that fraudulently billed more than $4 million to Medicare.

Valery Bogomolny, 44, of Westwo

More...   $0 (10-06-2016 - CA)

United States of America v. Pilar Garcia Lorenzo

Tampa, FL - Owner of Florida Home Health Agency Convicted in Multimillion-Dollar Health Care Fraud Scheme

The owner of a Tampa, Florida, home health agency was convicted by a federal jury for her participation in a multimillion-dollar health care fraud and money laundering scheme.

Pilar Garcia Lorenzo (Garcia), 38, of Tampa, the owner of Gold Care Home Health Services Inc. (Gold

More...   $0 (10-08-2016 - FL)

United States of America v. Mylan, Inc.

Washington, D.C. - Mylan To Pay $465 Million For Overpricing EpiPens

The United States Department of Justice charged Mylan, Inc., the maker of EpiPens with overcharging Medicaid for the pens by falsely classifying the pens as generic.

Mylan Issued the Following Press Release:

Mylan N.V. (NASDAQ, TASE: MYL) today announced that its subsidiary, Mylan Inc., has agreed to th

More...   $0 (10-08-2016 - DC)

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AK Morlan
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