Detroit, MI - A Detroit area hematologist-oncologist was sentenced to serve 45 years in prison for his role in a health care fraud scheme that included administering medically unnecessary infusions or injections to 553 individual patients and submitting to Medicare and private insurance companies approximately $34 million in fraudulent claims.

Assistant Attorney General Leslie R. Caldwell... More...   $0 (07-10-2015 - MI)

In a qui tam action in which the government intervened, a jury determined that Tuomey Healthcare System, Inc., did not violate the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-33 (2012).1 The district court, however, vacated the jury’s verdict and granted the government a new trial after concluding that it had erroneously excluded excerpts of a Tuomey executive’s deposition testimony. The jury in t... More...   $0 (07-10-2015 - )

LEXINGTON, KY – The executive director of a Lexington-based home health agency has agreed to pay the U.S. Government $1,082,416 to settle allegations that she provided unlawful compensation to physicians who referred patients to the agency.

Vicki S. House, a resident of Scott County, was the Secretary and an Executive Director of Nurses’ Registry and Home Health Corporation (“Nurses’ Regi... More...   $0 (07-07-2015 - KY)

11 Plaintiff James Briggs brings this suit under 42 U.S.C. § 1983 against the
12 Commissioner of the Connecticut Department of Social Services (“DSS”) to enforce the
13 Food Stamp Act’s time limits for awarding food stamp benefits. 7 U.S.C. § 2020(e)(3) and
14 (9) provide that participating states shall give such benefits within 30 days of application to
15 eligible households, and... More...   $0 (07-06-2015 - CT)

This securities fraud class action involves a class of plaintiffs who purchased
or otherwise acquired shares of K-V Pharmaceutical Company stock during the
period in which the company launched and marketed Makena, its new prescription
drug. The plaintiffs allege that K-V and three of its officers (collectively K-V) made
materially false or misleading statements or omissions related... More...   $0 (07-02-2015 - MO)

In a qui tam action in which the government intervened, a jury determined that Tuomey Healthcare System, Inc., did not violate the False Claims Act (“FCAâ€�), 31 U.S.C. §§ 3729-33 (2012).1 The district court, however, vacated the jury’s verdict and granted the government a new trial after concluding that it had erroneously excluded excerpts of a Tuomey executive’s deposition testimony. The... More...   $0 (07-02-2015 - SC)

Tampa, FL – U.S. District Judge Susan C. Bucklew sentenced a Miami couple for their roles in operating a sham clinic. Gladys Fuertes (41) was sentenced to 19 years and 6 months in federal prison for engaging in a conspiracy to commit healthcare fraud, healthcare fraud, aggravated identity theft, and obstruction of a healthcare fraud investigation. Her husband and business partner, Mario Fuertes ... More...   $0 (06-29-2015 - FL)

St. Louis, MO – DR. DEVON GOLDING was sentenced yesterday to four months imprisonment and eight months home detention on multiple health care fraud related charges for billing for services not rendered and false statements involving a health care benefit plan. Dr. Golding will also have to pay over $145,000 in restitution.

According to testimony presented at trial, Dr. Golding billed f... More...   $0 (06-26-2015 - MO)

The Patient Protection and Affordable Care Act adopts a series of interlocking reforms designed to expand coverage in the individual health insurance market. First, the Act bars insurers from taking a person’s health into account when deciding whether to sell health insurance or how much to charge. Second, the Act generally requires each person to maintain insurance coverage or make a payment to... More...   $0 (06-25-2015 - DC)

In this appeal, we review the trial court’s denial ofdefendant Ivonne Saavedra’s motion to dismiss her indictment for
official misconduct and theft by unlawful taking of public
documents. We also consider defendant’s constitutional and
public policy challenges to the official misconduct and theft
statutes as they apply to her case.
Defendant, an employee of the North Berg... More...   $0 (06-23-2015 - NJ)

LONDON — A McCreary County couple, who defrauded the Social Security Administration and Kentucky Medicaid out of hundreds of thousands of dollars, has been sentenced in federal court.

On Thursday, June 18, U.S. District Judge Gregory F. Van Tatenhove sentenced Oliver Taylor, 59, to 33 months in prison, for theft of government property, health care fraud, and defrauding the Social Securi... More...   $0 (06-22-2015 - KY)

Tampa, Florida – United States Attorney A. Lee Bentley, III announces that Suncoast Brace & Limb, Inc. (“SCBL�), based in Bradenton, today pleaded guilty to health care fraud. The corporation faces a maximum fine of $500,000 and the payment of restitution at the time of sentencing. A sentencing date has not yet been set.

According to the plea agreement, between July 2009 and March 2... More...   $0 (06-19-2015 - F)

HELENA – Montana U.S. Attorney Michael Cotter announced today the culmination of a federal operation that found nine Montanans engaged in Social Security fraud. Dubbed “Operation Save our Social Security,â€� Operation S.O.S. uncovered approximately a half-million dollars in fraudulent payments to individuals in Montana, which occurred when the individuals provided false information or made mis... More...   $0 (06-18-2015 - MT)

TYLER, Texas – The former Chief Financial Officer of Shelby Regional Medical Center has been sentenced to federal prison in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

Joe White, 68, of Cameron, Texas, pleaded guilty on Nov. 12, 2014 to making a false statement and was sentenced to 23 months in federal prison today by U.S. District Judge Michael Schneider... More...   $0 (06-17-2015 - TX)

DALLAS — A 52-year-old registered nurse from Cedar Hill, Texas, who owned a home health company, appeared in federal court this afternoon and pleaded guilty to her role in a health care fraud conspiracy, announced John Parker, Acting U.S. Attorney for the Northern District of Texas.

Pat Akamnonu, along with her husband, Cyprian (Cy) Akamnonu, owned Ultimate Care Home Health Services, In... More...   $0 (06-16-2015 - TX)

Mindy Backer appeals from Judge Mauskopf’s Fed. R. Civ. P.
19 12(b)(1) and 12(b)(6) dismissal of her complaint alleging a
20 Section 1983 violation. In that action, she claimed that the New
21 York State Department of Health (“DOH�) violated the Medicaid
22 Act, 42 U.S.C. § 1396 et seq., when DOH determined that
23 guardianship fees approved by a state court could not be... More...   $0 (06-03-2015 - NY)

BOISE, ID - Michael James Lott, 32, of Roseville, California, pleaded guilty to acquiring and obtaining a controlled substance by misrepresentation, fraud, and deception and false statement relating to health care matters, U.S. Attorney Wendy J. Olson announced. Lott was indicted by a federal grand Jury in Boise on January 13, 2015.

At the hearing, Lott admitted that he began altering hi... More...   $0 (06-03-2015 - ID)

DALLAS, TX — Two Arlington, Texas, residents who were convicted at trial in January 2014 on all counts of a superseding indictment charging them with one count of conspiracy to commit health care fraud and seven substantive health care fraud counts, were sentenced today, announced John Parker, Acting U.S. Attorney for the Northern District of Texas.

Pamela Adenuga, 39, was sentenced to ... More...   $0 (05-28-2015 - TX)

SALT LAKE CITY – Orbit Medical Inc. and Rehab Medical Inc. will pay $7.5 million to resolve allegations that Orbit submitted false claims to federal health care programs for power wheelchairs and accessories, the Justice Department announced today. Orbit Medical and Rehab Medical, a partial successor of Orbit, are durable medical equipment suppliers based in Salt Lake City, Utah and Indianapoli... More...   $0 (05-27-2015 - UT)

Plaintiff Jeffrey Bonkowski appeals from the order of the United States District Court for the Western District of Pennsylvania granting the summary judgment motion filed by Defendant Oberg Industries, Inc. (“Obergâ€�) with respect to his claims under the Family and Medical Leave Act (“FMLAâ€�). In this appeal, the Court must interpret a Department of Labor (“DOLâ€�) regulation—which state... More...   $0 (05-22-2015 - PA)

SAN FRANCISCO – The owners, operators, and manager of two nursing homes in Watsonville, Calif., have agreed to pay $3.8 million to settle allegations that they submitted false claims to the United States, announced United States Attorney Melinda Haag, U.S. Department of Health and Human Services OIG (HHS-OIG) Special Agent in Charge Ivan Negroni, and Federal Bureau of Investigation Special Agent... More...   $0 (05-21-2015 - CA)

New York, NY - The United States has settled civil fraud claims under the False Claims Act against WESTCHESTER COUNTY HEALTH CARE CORPORATION d/b/a WESTCHESTER MEDICAL CENTER (“WMCâ€�) related to WMC’s alleged violations of the Anti-Kickback Statute and the Stark Law and submission of costs reports to Medicare seeking reimbursement for charges WMC did not incur. In connection with the settleme... More...   $0 (05-14-2015 - NY)

Jackson, TN - Jackson-Madison County General Hospital has paid the United States $1,328,465 to resolve allegations that it billed Medicare and Medicaid in connection with the placement of unnecessary cardiac stents and other unnecessary cardiac procedures.

Cardiac stents are mesh tubes placed in coronary arteries to keep the arteries open in the treatment of coronary heart disease. The ot... More...   $0 (05-07-2015 - TN)

Washington, D.C. – The Justice Department announced today that 16 separate hospitals and their respective corporate parents have agreed to collectively pay $15.69 million to resolve False Claims Act allegations that the providers sought and received reimbursement from Medicare for services that were not medically reasonable or necessary, the U.S. Department of Justice announced today.

â... More...   $0 (05-07-2015 - AR)

New York, NY - Preet Bharara, the United States Attorney for the Southern District of New York, Diego Rodriguez, the Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation (“FBIâ€�), and Scott J. Lampert, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General's New York Regional Office (“HHS-OIGâ€�) announced... More...   $60000000 (05-01-2015 - NY)