Medicaid Law
 
United States of America v. Michael A. Tucker

Kansas City, MO - Man Sentenced for Fraud Scheme to Overcharge Medicaid, Medicare at Four Clinics

A Springfield, Mo., man who operated four Family Medical Center clinics in southern Missouri was sentenced in federal court for health care fraud.

Michael A. Tucker, 47, of Springfield, was sentenced by U.S. District Judge Gary A. Fenner to one year and one day in federal prison. The

More...   $54273 (10-06-2016 - MO)

WILLIAM DIESER v. ST. ANTHONY’S MEDICAL CENTER

On January 28, 2008, Mr. Dieser was admitted to St. Anthony’s for surgery to
remove a pancreatic pseudocyst. Two days later, Mr. Dieser developed a pressure wound
on his buttocks. The wound developed into a stage IV pressure ulcer extending from the
surface of Mr. Dieser’s skin to the bone. Surgery had to be performed to cut and remove
dead tissue from the wound. Mr. Dieser

More...   $0 (10-05-2016 - AR)

United States of America v. Steven William Delia

Muskogee, OK - Tulsa Doctor Found Guilty Of Health Care Fraud

Pre-signed Approximately 9,000 Blank Narcotics Prescriptions Before Afghanistan Deployment

Steven William Delia, age 61, of Tulsa, Oklahoma, was found guilty of HEALTH CARE FRAUD by a federal jury. The jury also found that the defendant should forfeit $83,769.27 in assets as part of any sentence imposed.

The

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BAPTIST HEALTH RICHMOND V. HON. WILLIAM G. CLOUSE, JR.

Eva Louise Nall (Agee) underwent laproscopic surgery and subsequently
died. Her husband, Tim Agee, individually and on behalf of her estate, sued
Baptist Health and a number of medical care providers alleging that her death
was the result of medical negligence. During discovery, Mr. Agee propounded a
request for production of documents to Baptist Health. The request at issue

More...   $0 (09-26-2016 - KY)

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)

United States of America v. Michael Huynh

Los Angeles, CA - Los Angeles Jury Convicts Medical Clinic Owner For Health Care Fraud and Tax Fraud

A federal jury in Los Angeles convicted the owner of a medical clinic for his role in a health care fraud scheme and for filing false income tax returns.

Michael Huynh, 57, of Encino, was convicted of one count of conspiracy to commit health care fraud and 11 counts of filing fals

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JHONHENRI JABRILLE LEE v. DIANA CATALINA SALGADO BUENO

On or about October 9, 2014, Plaintiff/Petitioner Jhonhenri Jabrille Lee (Lee) was involved in a motor vehicle collision with Defendant/Respondent Diana Catalina Salgado Bueno (Bueno). Lee was driving a vehicle that was struck from behind by a vehicle driven by Bueno at the intersection of NW Expressway and Blackwelder in Oklahoma City, Oklahoma. The collision pushed Lee's vehicle into the vehicle

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Milton Trotter v. State of Mississippi

Milton Trotter was sentenced to two life sentences involving one incident in 1981:
first, by the United States District Court for the Southern District of Mississippi for
kidnaping; second, by the Circuit Court of Lauderdale County for murder. In 1981, the
Circuit Court of Lauderdale County had ordered, based on Trotter’s plea agreement with the
State, that his state sentence would

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STATE OF NORTH CAROLINA v.ROBERT DENNIS DIXON

In 1987, defendant’s father, Cardwell Dixon (“Cardwell”) married Sara Dixon
(“Sara”), six months after defendant’s mother passed away. Cardwell owned a 41
acre piece of property (“the property”), and built a home where he and Sara lived
(“2033 McCray Road”). Cardwell also helped defendant purchase a home, and
allowed him to place his home on the property.
In 2004, Cardwel

More...   $0 (09-19-2016 - NC)

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 (09-13-2016 - NY)

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)

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 of America et al v. Preferred Imaging Centers, L.L.C.

Dallas, TX - Prefered Imaging, LLC to Pay $3,510,000 to Resolve False Claims Act Allegations

Preferred Imaging, LLC, (Preferred Imaging), a provider of diagnostic imaging services, has agreed to pay $3,510,000 to resolve allegations that it improperly billed Medicare and Medicaid for services performed without proper medical supervision in violation of the False Claims Act and the Texas M

More...   $3510000 (11-30--0001 - TX)

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

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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 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

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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 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

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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)

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)

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AK Morlan
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