Medicaid Law
 
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 (05-05-2016 - OR)

Ann Marie Trinko v. Executive Office of Health and Human Services, et al.

The underlying dispute stems from Woonsocket Health’s decision to discharge
Ms. Trinko from its nursing home facility after her alleged repeated behavioral violations.
Ms. Trinko had resided at Woonsocket Health since approximately November 19, 2009.1
(Compl. ¶ 4). On or about March 9, 2015, Woonsocket Health issued Ms. Trinko a
Notice of Discharge, which stated that she was be... More...
   $0 (04-30-2016 - RI)

United States of America v. Henry Lora

Miami, FL - Miami Physician Sentenced to 108 Months in Prison for His Role in $30 Million Health Care Fraud Scheme

A Miami physician was sentenced to 108 months in prison for his role in a Medicare fraud scheme that caused approximately $30 million in losses.

Henry Lora, 51, was sentenced by U.S. District Judge Federico A. Moreno of the Southern District of Florida, who also orde... More...
   $0 (04-20-2016 - FL)

United States of America v. Ali Elhorr, M.D.

Detroit, MI - Physician Pleads Guilty for Role in Detroit-Area Medicare Fraud Scheme

A licensed physician who worked for a Detroit-area medical practice pleaded guilty for his role in a $2.4 million health care fraud scheme.

Ali Elhorr, M.D., 47, of Dearborn, Michigan, pleaded guilty before U.S. District Judge Nancy G. Edmunds of the Eastern District of Michigan to one count of c... More...
   $0 (04-20-2016 - MI)

United States of America v. Dr. James Chaney aka "Ace"

London, KY - Hazard Doctor, his Wife and their Clinic Convicted in Massive Drug Trafficking and Health Care Fraud Scheme

A federal jury in London has convicted a doctor, his wife and their clinic of drug trafficking, health care fraud and money laundering, for orchestrating a scheme in which they made millions of dollars by unlawfully prescribing large amounts of prescription pills to cit... More...
   $0 (04-19-2016 - KY)

United States of America v. Jacques Roy, M.D., Cynthia Stiger, Wilbert James Veasey, Jr. and Charity Eleda, R.N.

Dallas, TX - Dallas Doctor and Three Dallas-Area Home Health Agency Owners Convicted for Running Large-Scale, Sophisticated Health Care Fraud Scheme

Following a six-week-long trial before U.S. District Judge Sam A. Lindsay and less than two days of deliberation, a federal jury convicted a Dallas physician and three owners of home health agencies on various felony offenses, including consp... More...
   $0 (04-17-2016 - TX)

United States of America v. Nery Cowan

Miami, FL - Former Health Care Clinic Consultant and Biller Sentenced to 135 Months in Miami For Role in $63 Million Medicare Fraud Scheme

A former health care clinic consultant and Medicare biller was sentenced to 135 months in prison and ordered to pay a $100,000 fine for her role in laundering money in connection with a $63 million health care fraud scheme involving a now-defunct Miami... More...
   $0 (04-15-2016 - FL)

United States of America v. Wayne Scott Harrington

Tulsa, OK - Tulsa Dentist Pleads Guilty To Money Laundering Charge - Billed For Anesthesia Services Administered By Dental Assistants

Wayne Scott Harrington, age 67, of Tulsa, Oklahoma, pled guilty to an Information filed in the United States District Court for the Northern District of Oklahoma, charging him with MONEY LAUNDERING, in violation of Title 18, United States Code, Section 1957... More...
   $0 (04-15-2016 - OK)

Dequisha Jackson v. The State of Texas

On August 13, 2013, Appellant gave birth to a healthy six pound seven ounce baby boy, I’Mauri Jackson. On her discharge from Methodist Hospital in Baytown, Texas, she received instructions from the hospital stating that she was to bring the baby in for a follow up visit with a doctor three days after I’Mauri’s discharge. An appointment was made for I’Mauri for August 19, 2013. Appellant did not... More...   $0 (04-14-2016 - TX)

United States of America v. Wayne Scott Harrington

Tulsa, OK - Former Dentist Pleads Guilty to Money Laundering

The United States of America charged Wayne Scott Harrington with money laundering in violation of 18 U.S.C. 982.

According to the Tulsa World: "Harrington admitted to depositing in June 2012 nearly $15,300 in funds derived from fraudulent Medicaid billing into a business account he controlled. Harrington admitted to sub... More...
   $0 (04-14-2016 - OK)

United States of America v. Alexis C. Norman

Dallas, TX - Ellis County Woman Sentenced to 105 Months in Federal Prison for Defrauding Medicaid

Defendant Also Ordered to Pay Nearly $3 Million in Restitution

n Ellis County woman who pleaded guilty last year to one count of health care fraud arising from her submission of false and fraudulent claims for counseling and psychotherapy services to Medicaid, on behalf of Medicaid b... More...
   $0 (04-08-2016 - TX)

Henry Roop v. Southern Pharmaceuticals Corporation, Glen Lingle and Douglas E. Martin

Southern Pharmaceuticals Corporation (“SPC”) is a medical supply company owned
principally by Glenn Lingle and Doug Martin. Nearly seventy percent of SPC’s business is
funded by payments from Medicare and Medicaid. At the time, sales of diabetic equipment
amounted to roughly three percent of SPC’s operations. Henry Roop, who had several years
of experience in medical sales, approac... More...
   $0 (04-08-2016 - )

United States et al. ex rel. Dr. Gibran Ameer v. Philips Electronics North America, et al.

Columbia, SC - Respironics to Pay $34.8 Million for Allegedly Causing False Claims to Medicare, Medicaid and Tricare Related to the Sale of Masks Designed to Treat Sleep Apnea

Respironics Inc., based in Murrysville, Pennsylvania, has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks in the form of free call center services to durable medical e... More...
   $35740000 (03-26-2016 - SC)

MOORE v. WARR ACRES NURSING CENTER, LLC.

The plaintiff/appellant, Donald Dewayne Moore (Moore/employee) worked for the defendant/appellee Warr Acres Nursing Center (employer/Nursing Center) as a licensed practical nurse. Moore began employment around January 17, 2008. Moore, became acutely ill with the influenza while working on November 25, 2008. The Nursing Center's director of nursing overheard Moore vomiting at the Nursing Center. Sh... More...   $0 (03-10-2016 - OK)

United States of America v. Dr. Venkateswara R. "V.R." Kuchipudi

Chicago, IL - A federal jury convicted an Oak Brook doctor of illegally receiving benefits in exchange for referring elderly patients to Sacred Heart Hospital on Chicago’s West Side.

After a five-week trial, DR. VENKATESWARA R. “V.R.” KUCHIPUDI was convicted on one count of conspiracy to defraud the United States, and nine counts of illegally soliciting or receiving benefits in return for... More...
   $0 (03-04-2016 - IL)

United States of America v. Mkrtich “Mike” Yepremian

Houston, TX - Houstonians Plead Guilty in $13 Million Health Care Fraud Case

The leader and four others charged in a $13 million Medicare and Medicaid health care fraud case have entered guilty pleas for their respective roles.

Mkrtich “Mike” Yepremian, 58, of Houston, pleaded guilty to conspiracy to commit health care fraud and paying kickbacks to marketers of Medicare and Med... More...
   $0 (03-04-2016 - TX)

Paul and Sybil Schexnayder VS Harry Bridges, N&G Trucking, Inc., Hinson Logging, Inc., State National Insurance Company, Inc. and State Farm Fire and Casualty Company

The motor vehicle accident at issue occurred early in the morning, while still
dark, on March 17, 2011, at approximately 6:00 a.m., on U.S. Highway 190 East
Hwy. 190) near Gremillion Road in West Baton Rouge Parish. Harry Bridges, was
driving an eighteen-wheeler tractor-trailer logging truck that was owned by his
employer, N&G Trucking, Inc., and he was hauling a full load of timbe... More...
   $0 (02-29-2016 - LA)

United States of America ex rel. Ford, et al. v. Abbott Northwestern, et al.

Billings, MT - Billings Hospital One of 51 Hospitals Nationwide to Pay More Than $23 Million to Resolve False Claims Act Allegations Related to Implantation of Cardiac Devices

The Department of Justice announced that it has reached settlements with 51 hospitals in 15 states for more than $23 million related to cardiac devices that were implanted in Medicare patients in violation of Medica... More...
   $23000000 (02-20-2016 - MT)

United States of America v. Alpha Diagnostics and Rafael Chikvashvili

Baltimore, MD - Maryland Health Care Provider Convicted for Patient Deaths

“Health Care Fraud Has Consequences, in Money Wasted and Lives Lost”; Defendant Cheated Medicare and Medicaid of More Than $7.5 Million

A federal jury convicted the owner of Alpha Diagnostics, Rafael Chikvashvili, age 67, of Baltimore, Maryland, of health care fraud and wire fraud conspiracy, healthcare fr... More...
   $0 (02-18-2016 - MD)

United States of America v. Sameer Andoni Fino

Tyler, TX - Physician Pleads Guilty To Illegally Prescribing Pain Medication

An East Texas pain management physician has pleaded guilty to illegally dispensing controlled substances.

Sameer Andoni Fino, 49, of Murphy, Texas, pleaded guilty for dispensing controlled substances outside the usual course of professional practice and not for a legitimate medical purpose.

... More...
   $0 (02-17-2016 - TX)

Clarence G. Oliver, et al. v. John Hofmeister, et al.

¶1 Oklahoma taxpayers filed a declaratory judgment action seeking a permanent injunction against Defendants, Joy Hofmeister, the State Superintendent of Public Instruction, the Oklahoma State Department of Education; and the Oklahoma State Board of Education, (the "State") 1 to enjoin the payment of tuition to private sectarian schools alleging the "Lindsey Nicole Henry Scholarships for Students w... More...   $0 (02-17-2016 - OK)

United States of America v. Dr. Gamal H. Eltabbakh and Lake Champlain Gynecolgic Oncology, P.C.

Burlington, VT United States And Vermont Doctor Resolve Matter Involving Non-FDA Approved Drugs And False Claims

The Office of the United States Attorney for the District of Vermont announced today the resolution of its investigation of Dr. Gamal H. Eltabbakh for submission of false claims for payment to Medicaid and Medicare. Under the terms of the agreement between the parties, Dr. Elta... More...
   $500000 (02-17-2016 - VT)

United States of America v. WELLHealth and Topical Specialists, Manish Bansal, Mehul Parekh, Marisol Arcila, and Syed Asad

Jacksonville, FL - United States Announces Approximately $10 Million Settlement With Four Physicians And Two Compounding Pharmacies

Two compounding pharmacies - WELLHealth and Topical Specialists, as well as four physicians - Manish Bansal, Mehul Parekh, Marisol Arcila, and Syed Asad, have agreed to pay the government a total of approximately $10 million to resolve allegations involving T... More...
   $10000000 (02-13-2016 - FL)

PRESBYTERIAN HOME FOR CENTRAL NY, INC. V. MICHELLE GOREA THOMPSON

Plaintiff commenced this action to recover a balance of $69,713.59 allegedly due for room, board, and nursing services it provided to Vivian Gorea, the now-deceased mother of defendantappellant-respondent (defendant), between August 1, 2010, and Gorea’s death on April 9, 2011. When Gorea was admitted to plaintiff’s facility in November 2008, defendant signed, among other things, a “private pay ag... More...   $0 (02-13-2016 - NY)

United States of America v. Pawankumar Jain, M.D.

Las Cruces, NM - Pawankumar Jain Pleads Guilty to Unlawfully Dispensing Prescription Painkillers and Health Care Fraud

Physician, whose Medical License was Revoked in Dec. 2012, Prosecuted as Part of HOPE Initiative which Seeks to Reduce the Number of Opioid-Related Deaths in New Mexico

Pawankumar Jain, 63, a physician whose license has been revoked, entered a guilty plea in fed... More...
   $0 (02-12-2016 - NM)

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