Medicaid Law
 
Ashley Thomas v. The State of Texas

In early 2010, prior to his deployment to Afghanistan, U.S. Army Sergeant
Zachary MacCalla became intimately involved with Thomas. After he attempted
to end their relationship, Thomas showed him a photograph from an ultrasound
and told him that she was pregnant with his twins. This was an utter falsehood.
Former section 31.03(e)(4)(A) provided that theft is a state jail felo... More...
   $0 (09-11-2016 - TX)

United States of America v. Andrew Barrett

New York Pharmacist Sentenced To 43 Months For Medicare And Tax Fraud

Defendant Caused $2.7 Million in Losses to Government Health Care Programs and Underreported His Income By Over $2.6 Million

Andrew Barrett, a New York pharmacist who operated pharmacies in Bronx, Queens, and Rockland counties, was sentenced to 43 months’ imprisonment to be followed by three years of supervised... More...
   $0 (09-09-2016 - NY)

John E. Barnes v. Ohio Democratic Party

Columbus, OH - Jury Rejects Defamation Claim

John E. Barnes sued the Ohio Democratic Party and Chris Redfern on defamation theories claiming that he was injured and/or damaged by false statements about him in campaign mailings to Democratic voters as part of an unsuccessful effort to defeat him in a primary race in 2014. The mailing claimed that Barnes "blocked Medicaid for the poor," "d... More...
   $0 (08-27-2016 - OH)

United States of America v. Beth Israel Medical Center d/b/a Mount Sinai Beth Israel (“Beth Israel”), St. Luke’s-Roosevelt Hospital Center d/b/a Mount Sinai St. Luke’s and Mount Sinai Roosevelt (“St. Luke’s Roosevelt,” and together with Beth Israel, the “Hospitals”), and Continuum Health Partners, Inc. (“Continuum,” and together with the Hospitals

New York, NY - Manhattan U.S. Attorney Announces $2.95 Million Settlement With Hospital Group For Improperly Delaying Repayment Of Medicaid Funds

Continuum Admits That It Did Not Fully Reimburse Medicaid For Erroneously Billed Claims For Over Two Years

Preet Bharara, the United States Attorney for the Southern District of New York, Scott J. Lampert, Special Agent in Charge of the... More...
   $29500000 (08-25-2016 - NY)

Hosan M. Azomani a/k/a Hosan Azomani a/k/a Hosan Menanya Azomani a/k/a Dr. Azomani a/k/a Hosan Azomani M.D. a/k/a Dr. Hosan M. Azomani v. State of Mississippi

Dr. Azomani, a pediatrician and the medical director of the Children’s Medical Group
of Greenville PLLC, was investigated by the Mississippi Medicaid Fraud Control Unit
(MFCU). On October 19, 2010, he billed Mississippi Medicaid under “Current Procedural
Terminology” (CPT) code 99215 for all fifty-six children he treated that day. And on
January 3, 2011, he used the same code to ... More...
   $0 (08-15-2016 - MS)

United States ex rel. Melayna Lokosky v. Acclarent, Inc.

Boston, MA - Johnson & Johnson Subsidiary Acclarent Inc. Pays Government $18 Million to Settle False Claims Act Allegations

California-based medical device manufacturer Acclarent Inc., a subsidiary of Johnson & Johnson, has agreed to pay $18 million to resolve allegations that the company caused health care providers to submit false claims to Medicare and other federal health care program... More...
   $18000000 (07-24-2016 - MA)

United States of America v. Philip Esformes, Odette Barcha and Arnaldo Carmouze




Miami, FL - Three Individuals Charged in $1 Billion Medicare Fraud and Money Laundering Scheme

The owner of more than 30 Miami-area skilled nursing and assisted living facilities, a hospital administrator and a physician’s assistant were charged with conspiracy, ob... More...
   $0 (07-24-2016 - FL)

United States of America v. Paul Mil

Newark, NJ - Owner Of Union County, New Jersey, Home Health Care Agency Gets 54 Months In Prison For Bilking Medicaid Out Of $7 Million

A Springfield, New Jersey, man was sentenced to more than four years in prison for his role in a scheme that used bogus records and unqualified home health aides to defraud Medicare out of $7 million, U.S. Attorney Paul J. Fishman announced.

Pau... More...
   $0 (07-15-2016 - NJ)

Petition of Estate of Thea Braiterman

The applicant created the Trust in 1994, naming herself and her son, David J. Braiterman, as trustees. The applicant resigned as a trustee in 2008. However, the Trust authorized the applicant to appoint additional and successor trustees, and the petitioner acknowledges that the applicant could have resumed service as a trustee by appointing herself as an additional or successor trustee.
T... More...
   $0 (07-13-2016 - NH)

United States of America v. Shalonda Suggs

Oklahoma City, OK - Oklahoma City Woman Pleads Guilty to Committing Health Care Fraud and Food Stamp Fraud

Shalonda Suggs, 36, of Oklahoma City, pled guilty to health care fraud in connection with submitting false claims to Medicaid for behavioral health counseling services. Suggs also pled guilty to stealing Supplemental Nutrition Assistance Program benefits (SNAP benefits, formerly kno... More...
   $0 (07-07-2016 - OK)

United States of America et al v. Institute of Cardiovascular Excellence, PLLC a/k/a ICE and Asad Ullah Qamar

Orlando, FL - Florida Cardiologist and His Practice Pay Millions and Agree to Three Years of Exclusion to Resolve Alleged False Billings for Unnecessary Procedures and Illegal Kickbacks

An Ocala, Florida, cardiologist, Dr. Asad Qamar, and his practice, the Institute of Cardiovascular Excellence (ICE), will pay $2 million, plus release any claim to $5.3 million in suspended Medicare funds... More...
   $0 (07-04-2016 - FL)

United States of America v. Daniel Thomason Smith and Kathleen Marina Kelly-Tuorila

Waco, TX - Jury Convicts Owner of DTS Medical Supply Company in Devine, TX, and Office Manager in Connection with $3.5 Million Health Care Fraud Scheme

A jury returned guilty verdicts against 55–year-old DTS Medical Supply Company owner Daniel Thomason Smith and 45-year-old DTS office manager Kathleen Marina Kelly-Tuorila in connection with an estimated $3.5 million Health Care Fraud sch... More...
   $0 (07-03-2016 - TX)

STATE OF NEW JERSEY VS. BINH THACH

Defendant Binh Thach appeals from the dismissal of his
petition for post-conviction relief (PCR) following an
evidentiary hearing. He contends his plea counsel was
constitutionally deficient by failing to discover readily
available medical records suggesting defendant suffered from a
serious mental condition at the time he committed his crimes and
by failing to secur... More...
   $0 (06-30-2016 - NJ)

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... More...   $0 (06-27-2016 - OK)

United States of America v. Riyad Altallaa and Muna Alnoubani

Columbus, OH - Couple Agree to Plead Guilty to more than $1 Million in Health Care Fraud

Case is part of Largest National Health Care Fraud Sweep in History

Riyad Altallaa, 51, and Muna Alnoubani, 49, both of Hilliard, each agreed to plead guilty in U.S. District Court to conspiracy to commit health care fraud.

Attorney General Loretta E. Lynch and Department of Health a... More...
   $0 (06-22-2016 - OH)

Antonio Oliver v. Philip Morris USA Inc.

Appellant and relator Anthony Oliver brings this qui tam action alleging that Appellee Philip Morris USA violated the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-3733 (2006),1 by charging the Navy Exchange Service Command (“NEXCOM”) and the Army and Air Force Exchange Service (“AAFES”) prices for cigarettes that violated the terms of their contracts. The District Court concluded that it lacked ju... More...   $0 (06-22-2016 - DC)

United States of America v. Byron Felton Conner

Dallas, TX - North Richland Hills Physician Admits Role in Health Care Fraud Conspiracy

A licensed physician from North Richland Hills, Texas, Byron Felton Conner, 48, pleaded guilty to one count of conspiracy to commit health care fraud stemming from a scheme to defraud Medicare through the submission of false claims for physician home visits and home health care services.

Con... More...
   $0 (06-19-2016 - TX)

United States of America, ex rel. Steven R. Peikan, M.D., et al. v. Salix Pharmaceuticals, Inc.

New York, NY - Manhattan U.S. Attorney Announces $54 Million Settlement Against Salix Pharmaceuticals For Using “Speaker Programs” As Mechanism To Pay Illegal Kickbacks To Doctors To Induce Them To Prescribe Salix Products
Salix Admits to Paying Doctors to Serve as “Speakers” at Programs that Were Primarily Social in Nature and Where the “Speakers” Spent Little or No Time Discussing the Releva... More...
   $54000000 (06-14-2016 - NY)

United States of America v. Ubert Guillermo Rodriguez, aka Ubert Guillermo Rodriguez Sigler

Tampa, FL - Former Fugitive Sentenced to Prison for Florida Multimillion-Dollar Health Care Fraud Scheme

A Cuban national was sentenced to 37 months in prison for his role in a multimillion-dollar health care fraud scheme in the greater Tampa, Florida, area.

Ubert Guillermo Rodriguez, aka Ubert Guillermo Rodriguez Sigler, 47, pleaded guilty to conspiracy to commit health care ... More...
   $0 (06-13-2016 - FL)

United States of America v. Dr. Augustine Egbunike

Houston, TX - Houston Physician Sentenced in Health Care Fraud Conspiracy

Two defendants in a nearly $3 million fraudulent vestibular diagnostic testing scheme have been ordered to federal prison. Dr. Augustine Egbunike, 61, pleaded guilty Jan. 16, 2015, while Loretta Mbadugha, 58, also of Houston, entered a plea for her role in the scheme Dec. 12, 2014.

U.S. District Judge Melin... More...
   $2000000 (06-10-2016 - TX)

United States of America v. Paul Herbert

Paul Hebert Sentenced to Four Year Term of Probation and $5,000 Fine for Social Security and Medicaid Fraud

The Office of the United States Attorney for the District of Vermont announced that Paul Hebert, 51, of Gloucester, Massachusetts, formerly of Barre, Vermont, was sentenced today for Social Security fraud and Medicaid fraud. Chief District Judge Christina Reiss sentenced Hebert to ... More...
   $5000 (06-08-2016 - VT)

United States of America v. Genentech, Inc. and OSI Pharmaceuticals, LLC

San Francisco, CA - Pharmaceutical Companies To Pay $67 Million To Resolve False Claims Act Allegations Relating To Tarceva

Pharmaceutical companies Genentech, Inc. and OSI Pharmaceuticals, LLC will pay $67 million to resolve False Claims Act allegations that Genentech and OSI Pharmaceuticals, Inc. made misleading statements about the effectiveness of the drug Tarceva to treat non-small c... More...
   $67000000 (06-07-2016 - CA)

Jean Dedmon v. Debbie Steelman, et al.

Jean and Fred Dedmon (collectively, ―Plaintiffs‖) filed this lawsuit against John T. Cook, seeking to recover for injuries arising out of a car accident. Plaintiffs alleged that Mrs. Dedmon incurred medical expenses totaling $52,482.87, and they attached her medical bills to the complaint. Defendant Cook filed an answer specifically denying that the medical bills attached to the comp... More...   $0 (06-06-2016 - TN)

United States of America v. Paula McNeal aka Paula Quigley and Paula Walker

Lubbock, TX - Former Employee at a Lubbock Counseling Center is Sentenced on Health Care Fraud Conviction

A 36-year-old woman from Lubbock, Texas, Paula McNeal, who pleaded guilty in January 2016 to one count of health care fraud, was sentenced 18 months in federal prison and ordered to pay $104,088 in restitution, announced U.S. Attorney John Parker of the Northern District of Texas.
... More...
   $0 (05-20-2016 - TX)

United States of America ex rel. Sheila Rose and Louis Rose v. Fortress Investment Group, LLC. et al.

Portland, OR - United States Recovers over $8 Million in False Claims Act Settlements for Fraud Against the VA and Medicare

Holiday Acquisition Corp. and Fortress Investment Group, LLC (collectively Holiday) agreed to pay $8.86 million to resolve alleged False Claims Act violations for submitting false claims to the United States Department of Veterans Affairs (VA) to qualify veterans or ... More...
   $8000000 (05-09-2016 - OR)

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AK Morlan
Kent Morlan, Esq.
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