Cleveland, OH - Richmond Heights woman sentenced to eight years in prison for operating an $18 million healthcare fraud scheme

A Richmond Heights woman was sentenced to nearly eight years in prison for operating an $18 million home healthcare fraud scheme.

Sharon Ward, 45, was sentenced to 94 months in prison and ordered to pay $18 million in restitution after previously being fo... More...   $0 (10-18-2015 - )

This lawsuit charges violations of
42 U.S.C. § 12132, a provision of Title II of the Americans
with Disabilities Act which states that “no qualified individual
with a disability shall, by reason of such disability, … be
subjected to discrimination by any [public] entity,” and of
2 No. 14-2850
Section 504 of the Rehabilitation Act, 29 U.S.C. § 794, which
has identical ap... More...   $0 (10-15-2015 - IL)

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 (10-13-2015 - IN)

New Haven, CT - Stamford Podiatrist Pleads Guilty to Submitting False Medicare Claims, Also Pays 288K in Civil Settlement

AMIRA MANTOURA, 53, of Greenwich, waived her right to indictment and pleaded guilty to one count of making a false statement to the Medicare program. In pleading guilty, MANTOURA, a Stamford-based podiatrist, admitted that she submitted false claims to Medicare, Medic... More...   $0 (10-06-2015 - CT)

The Appellant, the Council on Developmental Disabilities, Inc., is a
Kentucky nonprofit corporation that advocates for "children and adults with
mental retardation and their families and other interested persons in the
community." It receives funding from several sources, including Metro United
Way and the Louisville/Jefferson County Metro Government.
In January 2010, the ... More...   $0 (10-06-2015 - KY)

Charlotte NC - Hickory, N.C. Physician Pleads Guilty To Health Care Fraud

A Hickory physician pleaded guilty to health care fraud charges for submitting to Medicare and Medicaid over $467,376 in fraudulent reimbursement claims, announced Jill Westmoreland Rose, Acting U.S. Attorney for the Western District of North Carolina. Wayne Vincent Wilson, 54, entered his guilty plea before U.S. M... More...   $0 (10-05-2015 - NC)

Houston, TX - Clinic Manager Guilty of Health Care Fraud

The owner and operator of Elite P. Care Medical Services has been convicted of conspiracy to commit health care fraud and health care fraud in a $1 million fraud scheme. Verona Spicer, 46, pleaded guilty before U.S. District Judge Kenneth Hoyt.

Spicer admitted that she hired a physician to sign patient medical documents at ... More...   $0 (10-05-2015 - TX)

Eddie Hoffman was injured in October 2010, when his vehicle was rear
ended by a vehicle driven by Carolyn Elzy. The accident occurred at or near the
intersection of Old Hammond Highway and Sharp Road in Baton Rouge,
Louisiana. Mr. Hoffman filed suit against Ms. Elzy and her insurer, 21st Century
North America Insurance Company (“Century”), for damages allegedly resulting
... More...   $0 (10-03-2015 - LA)

Bridgeport, CT - Lynwood Patrick, Jr., 40, of East Hartford, was sentenced today by U.S. District Judge Victor A. Bolden in Bridgeport to three years of probation, the first six months of which PATRICK must serve in home confinement, for submitting a fraudulent application for a personal mortgage modification.

According to court documents and statements made in court, from approximately O... More...   $0 (10-01-2015 - CT)

We begin with an overview of California’s Medi-Cal program for context, and then discuss the parties’ factual and legal contentions in this litigation. A. California’s Medi-Cal Program
Medi-Cal is California’s program under the joint federal-state program known as Medicaid. (Welf. & Inst. Code, § 14000 et seq.) Medicaid provides federal financial assistance to participating states to suppo... More...   $0 (09-30-2015 - CA)

Baltimore, MD - Baltimore Woman Pleads Guilty to Food Stamp and Medicaid Fraud

Received Over $95,000 in Fraudulent Food Stamp and Medicaid Benefits

Tiffany Saunders Carraway, age 34, of Baltimore, pleaded guilty to theft of government property arising from a scheme to falsify her income and living arrangements to illegally obtain food stamp and Medicaid benefits.

The gui... More...   $0 (09-29-2015 - MD)

Wichita, KS - Prison Terms Don’t Change For Former Haysville Doctor and Wife

A federal judge resentenced a former Haysville physician and his wife without changing the amount of time they must spend in prison for illegally distributing prescription pain killers to patients who overdosed on them, U.S. Attorney Barry Grissom said.

Stephen J. Schneider, 62, currently in federal cus... More...   $0 (09-24-2015 - KS)

McAllen, TX - Area Ambulance Company Owner Pleads Guilty in Health Care Fraud Scheme

The owner of Vic’s Texas Transport, Inc. (dba Victory EMS) has been convicted of health care fraud and aggravated identity theft, announced United States Attorney Kenneth Magidson. Victor Lee Gonzalez, 28, of Mission, entered his guilty plea before Chief U.S. District Judge Ricardo Hinojosa.

As p... More...   $0 (09-22-2015 - TX)

Charleston, WV - Trivillian's Pharmacy sentenced for federal healthcare and drug crimes

Former Owner Paula Butterfield Sentenced to One Year and One Day in Federal Prison

United States Attorney Booth Goodwin announced that Trivillian’s Pharmacy, a long-standing Kanawha City retail and compounding pharmacy, was sentenced today in federal court in Charleston to three years of proba... More...   $0 (09-18-2015 - WV)

The federal Medicaid program provides financial assistance to states that offer medical treatment to needy persons. (Mission Hospital Regional Medical Center v. Shewry (2008) 168 Cal.App.4th 460, 469–470 (Mission I).) “California participates in the federal Medicaid program through the Medi-Cal program,” and the Department is the state agency authorized to administer the Medi-Cal program. (Id. ... More...   $0 (09-15-2015 - CA)

In 2002, the MFCU initiated an investigation into the professional financial
affairs of Morse, a dentist, then practicing with another dentist in the Park Slope 4  
neighborhood of Brooklyn as ʺ580 Dental, P.C.ʺ  The defendant John Fusto, then 5  
a Special Assistant Attorney General with the MFCU, was assigned to the case, as 6  
was the defendant Jose Castillo, then an ... More...   $0 (09-13-2015 - NY)

McAllen, TX - Durable Medical Equipment Company Owner Pleads Guilty to Health Care Fraud

The owner of Illusion Medical Equipment and Illusion Medical Equipment II LLC in McAllen has been convicted of health care fraud and aggravated identity theft, announced United States Attorney Kenneth Magidson. Willie Chester Mitchell, 33, of McAllen, entered his guilty plea today before Chief U.S. Di... More...   $0 (09-10-2015 - TX)

In this three-year high-stakes litigation—a case that “[t]he [medical] industry is watching,” Ameritox assured the jury—the parties tried various state statutory and common law unfair competition claims predicated upon the alleged violation of two federal statutes that provide no private right of action. The parties, however, did not realize that it was an open question whether or not any of the n... More...   $0 (09-06-2015 - )

The district court entered a preliminary
injunction in favor of the plaintiffs, a number of religious,
not-for-profit organizations, preventing the defendants from
applying or enforcing the so-called “contraceptive mandate”
of the Patient Protection and Affordable Care Act of 2010
(“ACA”) to the plaintiffs. See 42 U.S.C. § 300gg-13(a)(4); Pub.
2 Nos. 14-1430 & 14-1431
L... More...   $0 (09-04-2015 - IN)

On July 27, 2013, D.J.W. (Patient) was admitted to the Hospital and hospitalized due to injuries he sustained in a motor vehicle accident. On August 27, 2013, the Hospital filed a First Party Combined County Medical Assistance Application with the Department on Patient’s behalf. The County Service Director investigated the application and ultimately concluded that the application should be denied ... More...   $0 (09-04-2015 - ID)

This is an appeal of a trial court’s order denying a motion to compel arbitration filed by Specialty Select Care Center of San Antonio, LLC d/b/a Casa Rio Healthcare and Rehabilitation. After the parties’ briefs were filed, this court abated this appeal pending the Texas Supreme Court’s decisions in three appeals from this court. See Williamsburg Care Co. L.P. v. Acosta, 406 S.W.3d 711 (Tex. App.—... More...   $0 (09-02-2015 - TX)

We begin with an overview of California’s Medi-Cal program for context, and then discuss the parties’ factual and legal contentions in this litigation.
A. California’s Medi-Cal Program
Medi-Cal is California’s program under the joint federal-state program known as Medicaid. (Welf. & Inst. Code, § 14000 et seq.) Medicaid provides federal financial assistance to participating states to ... More...   $0 (09-02-2015 - CA)

Ask 100 Americans whether a 74 year-old man’s “family”
includes his wife who lives with him, and every one of those Americans will likely answer yes.
But here the Ohio Department of Medicaid answered no, with the result that it denied Joe
>
No. 14-4023 Wheaton v. McCarthy Page 2
Turner’s application for benefits under the Medicaid Act. That Act requires States who receive
M... More...   $0 (09-01-2015 - OH)

Nosal-Tabor filed a complaint against Sharp in April 2013 in which she alleged that she had made numerous complaints to Sharp's management concerning the "illegal procedures for stress testing of . . . cardiac patients." Among her complaints was "the lack of a legally required Standardized Procedure" authorizing the performance of nurse-led stress testing. Nosal-Tabor alleged that she had "confi... More...   $0 (08-27-2015 - C)

} After undergoing bariatric surgery, New Mexico residents Nellie Gonzales and
15 Fernando Gallegos (collectively, Plaintiffs) sued Dr. Eldo Frezza for medical
16 malpractice and Presbyterian Health Plan (Presbyterian) for breach of contract and
17 negligent referral. Both surgeries took place in Lubbock, Texas at the Texas Tech
18 University Health Sciences Center (the Center). ... More...   $0 (08-25-2015 - NM)