Miami, FL - Miami Physician Pleads Guilty For Role in $20 Million Health Care Fraud Scheme

A Miami physician pleaded guilty today for his role in a Medicare fraud scheme that caused more than $20 million in losses.

Henry Lora, 51, of Miami, pleaded guilty before U.S. District Judge Federico A. Moreno of the Southern District of Florida to one count of conspiracy to commit health... More...   $0 (02-09-2016 - FL)

At heart, this case is about an agency caught between two congressionally assigned tasks. Congress has prescribed specific time frames for the Secretary of Health and Human Services to reach decisions on various stages of administrative appeals of Medicare reimbursement claim denials. But Congress has also directed the Secretary to implement the Medicare Recovery Audit Program to detect waste, fr... More...   $0 (02-09-2016 - DC)

The Medicaid waiver program involved in this case provides residential habilitation and day habilitation services for developmentally disabled patients. Residential habilitation provides basic services to recipients able to live in their own home. Day habilitation provides patients the necessary physical and occupational tools to interact with society. Each recipient of these services has a pla... More...   $0 (02-01-2016 - WY)

Omaha, NE - Nebraska Man Sentenced in Health Care Fraud Case

Clements Akara, 61, of Omaha Nebraska, was sentenced by United States District Judge John M. Gerrard for the crime of health care fraud. Akara was sentenced to three years of supervised release, five months incarceration, and five months of house arrest. He was also ordered to perform 100 hours of community service and pay res... More...   $0 (01-28-2016 - NE)

On April 18, 2013, defendant, Lynn Foret, a medical doctor who specialized in
orthopedic surgery, pled guilty in federal court to one count of health care fraud,3 for
criminal acts that occurred between 2003 and 2009. The bill of information states the
On April 18, 2013, defendant, Lynn Foret, a medical doctor who specialized in
orthopedic surgery, pled guilty in federal court to ... More...   $0 (01-28-2016 - LA)

The Medicaid program is a federal-state joint venture that provides
medical assistance to low-income individuals like one of the plaintiffs, Ms.
Leslie Taylor. This assistance is provided to Ms. Taylor through two
programs administered in Colorado. One program subsidizes the cost of
attendants who provide in-home care; the other program compensates
recipients for mileage w... More...   $0 (01-27-2016 - CO)

Synthetic cannabinoids, also known as “spice,” are compounds designed to mimic the psychoactive properties of marijuana, first reported in the United States in 2008. See Schedules of Controlled Substances: Temporary Placement of Three Synthetic Cannabinoids Into Schedule I, 78 Fed. Reg. 28,735–39 (May 16, 2013) (to be codified at 21 C.F.R. pt. 1308.11(h)(9)–(11)). Regulation of “spice” is a part... More...   $0 (01-25-2016 - IN)

New York, NY - Manhattan U.S. Attorney Announces $46.7 Million Settlement Of Civil Fraud Claims Against Centerlight Healthcare For Enrollment Of Ineligible Individuals In Medicaid Managed Long-Term Care Plan

CenterLight Healthcare Admits Collecting Medicaid Payments for 1,241 Ineligible Managed Long-Term Care Plan Members Who Attended or Were Referred by Social Adult Day Centers

... More...   $46751086 (01-22-2016 - NY)

Las Vegas, NV - Family Members Convicted In Benefits Fraud Case

A brother and sister have been convicted by a federal jury of multiple felony counts for using false identities to steal almost $300,000 in unemployment funds and other federal benefits, announced U.S. Attorney Daniel G. Bogden for the District of Nevada. Two other family members were also convicted of fraud for their part in... More...   $0 (01-20-2016 - NV)

Speech-generating devices assist individuals with severe communication impairments by “speaking” typed messages out loud. Appellants Douglas B. Huron and the United States Society for Augmentative and Alternative Communication (the “Society”) filed this action against the Office of Personnel Management (“OPM”) and its Director challenging the agency’s approval of health benefits plans for federa... More...   $0 (01-20-2016 - DC)

Dallas, TX - Registered Nurse Co-Owner of Ultimate Care Home Health Services, Inc. Sentenced to 10 Years in Federal Prison for Role in Healthcare Fraud Conspiracy

Conspiracy Involved Dr. Jacques Roy of Medistat Group Associates and Others

A 52-year-old registered nurse and home health company owner from Cedar Hill, Texas, was sentenced this morning in federal court in Dallas on a... More...   $0 (01-19-2016 - TX)

Grand Rapids, MI - Physician Assistant, Kyle D. Gandy, Sentenced To Fourteen Months In Prison For Accepting Illegal Kickbacks

Kyle D. Gandy, age 37, a physician assistant who formerly resided in Mt. Pleasant, Michigan, was sentenced to 14 months in prison and two years of supervised release for accepting $1,000.00 in illegal kickbacks for referring patients to medical clinics, physical th... More...   $0 (01-12-2016 - MI)

New York, NY - Doctor And Owner Of Bronx Clinics Involved In Illegal Distribution Of More Than Five Million Oxycodone Pills Is Sentenced To 12 Years In Prison

Kevin Lowe, the owner of “Astramed,” a purported medical clinic with multiple locations in the Bronx, New York, and from which more than five million tablets of the prescription painkiller oxycodone were unlawfully distributed over ... More...   $0 (01-12-2016 - NY)

Richmond, VA - Richmond Businessman Sentenced for Health Care Fraud Conspiracy

Ronald Tucker, 46, of Lawrenceville, was sentenced to 37 months in prison for conspiracy to commit health care fraud for submitting false and fraudulent claims for reimbursement to the Virginia Medicaid program. Tucker was also sentenced to three years of supervised release and ordered to pay $442,148 to the V... More...   $442148 (01-06-2016 - VA)

Nashville, TN - Pharmacy Company and Owner Settle False Claims Act Lawsuit

Nashville Pharmacy Services, LLC, and its majority owner Kevin Hartman have agreed to pay up to $7.8 million to settle allegations that they overbilled Medicare and TennCare for pharmacy services, announced David Rivera, U.S. Attorney for the Middle District of Tennessee. Nashville Pharmacy Services’ primary locat... More...   $8300000 (01-05-2016 - TN)

Scranton, PA - Health Care Fraud Charges And Plea Agreements Filed Against Tioga County Physician And Two Others

A criminal information has been filed in U.S. District Court in Scranton against Dr. John Terry, age 65, of Wellsboro, in connection with fraudulent prescriptions he wrote for Oxycodone, a Schedule II controlled substance.

According to U.S. Attorney Peter Smith, in Apr... More...   $0 (01-05-2016 - PA)

Scranton, PA - Health Care Fraud Charges And Plea Agreements Filed Against Tioga County Physician And Two Others

A criminal information was filed in U.S. District Court in Scranton against Dr. John Terry, age 65, of Wellsboro, in connection with fraudulent prescriptions he wrote for Oxycodone, a Schedule II controlled substance.

According to U.S. Attorney Peter Smith, in April 20... More...   $0 (01-05-2016 - PA)

Los Angeles, CA - Owner of three clinics Sentenced to Prison for Medicare Fraud

The former owner and operator of three medical clinics located in Los Angeles was sentenced today to 78 months in prison for his role in a scheme that submitted more than $4.5 million in fraudulent claims to Medicare.

Assistant Attorney General Leslie R. Caldwell of the Justice Department’s... More...   $0 (01-04-2016 - CA)

The Center for Medicare and Medicaid Services (CMS)—the component of HHS that administers the Medicare Program—reimburses hospitals for services
3 provided to Medicare patients. Initially, reimbursement was based on a hospital’s reasonable, actual costs. In 1982, concern regarding the rapidly rising costs of Medicare reimbursements prompted Congress to direct the Secretary of HHS to develo... More...   $0 (12-29-2015 - DC)

Dallas, TX - Dallas-Based Home Heath Company Owners and Nurses Charged for Roles in $13.4 Million Medicare Fraud Scheme

The co-owners of a home health company in Dallas and two nurse employees were charged in an indictment unsealed yesterday for their alleged participation in a $13.4 million health care fraud scheme involving fraudulent claims for home health services.

Assistant ... More...   $0 (12-23-2015 - TX)

Appellants the District of Columbia, the District’s Mayor, and the Director of the District’s Department of Human Services (collectively, the “District”) appeal two separate awards of attorneys’ fees and expenses for work performed from 2010 to 2012 on this 42 U.S.C. § 1983 Medicaid class action. In this consolidated appeal, the District raises three grounds for its position that the district co... More...   $0 (12-20-2015 - DC)

New York, NY - Manhattan U.S. Attorney Announces $39 Million Civil Fraud Settlement Against Qualitest Pharmaceuticals For Selling Half-Strength Fluoride Supplements

Preet Bharara, the United States Attorney for the Southern District of New York, Scott J. Lampert, Special Agent in Charge of the New York Regional Office for the Office of Inspector General for the Department of Health and Hu... More...   $0 (12-18-2015 - NY)

Miami, FL Four Defendants Sentenced to Prison for Paying and Accepting Bribes and Gratuities

Four defendants have been sentenced to prison terms, by U.S. District Judge Daniel T.K. Hurley in West Palm Beach, for paying and accepting bribes and gratuities.

Irma Davidian, 52, of Boca Raton, was sentenced to 10 years in prison, to be followed by three years of supervised release an... More...   $0 (12-17-2015 - FL)

Amarillo, TX San Angelo, Texas, Psychiatrist Sentenced to Serve 71 Months in Federal Prison on Health Care Fraud Conviction

Dr. Robert Hadley Gross Also Fined $100,000 and Ordered to Pay More Than $1.8 Million in Restitution

A licensed psychiatrist from San Angelo, Texas, Robert Hadley Gross, 58, was sentenced yesterday by U.S. District Judge Mary Lou Robinson to 71 months in fed... More...   $1800000 (12-17-2015 - TX)

On July 3, 2007, a paramedic supervisor, Defendant Ethan Barstow (Mr. Barstow), collided with a vehicle driven by the Plaintiff/Appellee, Elizabeth Gowens (Ms. Gowens) resulting in property damage to both vehicles and physical injury to Ms. Gowens. At the time of the collision, Mr. Barstow was a paramedic supervisor for the Defendant/Appellant EMSSTAT which is a division of the Defendant/Appellan... More...   $0 (12-16-2015 - OK)