Medicaid Law
 
United States of America v. Tarrish Tellis

MONTGOMERY, AL – The ringleader of a stolen identity tax refund fraud scheme and former nightclub owner was sentenced yesterday in the U.S. District Court in Montgomery, Alabama, for stolen identity refund fraud related crimes, announced U.S. Attorney George L. Beck Jr. of the Middle District of Alabama, and Acting Assistant Attorney General Caroline D. Ciraolo of the Justice Department’s Tax ... More...   $0 (04-16-2015 - AL)

Barry Hollman v. South Dakota Department of Social Services

[¶1.] The Department of Social Services (DSS) provided Medicaid benefits to Darlene Hollman while she was in a nursing home. At that time, Hollman had an interest in real estate. DSS did not record a lien on the property for the benefits it had provided until after Hollman died. Hollman’s children contested the lien’s validity. The circuit court granted summary judgment for DSS, ruling that t... More...   $0 (04-15-2015 - SD)

United States of America v. Tariq Mahmood

TYLER, TX – A 63-year-old Dallas County, Texas, physician, was sentenced to federal prison for health care fraud and identity theft violations in the Eastern District of Texas. Tariq Mahmood, 63, of Cedar Hill, Texas, was found guilty by a jury of conspiracy to commit health care fraud, seven counts of health care fraud, and seven counts of aggravated identity theft following a four day trial be... More...   $0 (04-14-2015 - TX)

Wade B. Anderson v. Olive N. Anderson

Olive N. Anderson, a Filipino national, moved to Nebraska and married Wade B. Anderson after meeting him through an online dating service. Their marriage soured, and the court entered a dissolution decree giving Wade custody of their only child. Wade argues that the court ordered Olive to pay child support that is too low and ordered him to pay alimony that is too high. Wade further contends that ... More...   $0 (04-03-2015 - NE)

Dr. Richard Malouf and Leanne Malouf v. Graham Wood

These consolidated appeals involve motions to dismiss defamation claims under the Texas Citizen’s Participation Act1 (TCPA). AOL, Inc. brings an interlocutory appeal of the denial of its motion to dismiss defamation claims brought by Dr. Richard Malouf and his wife, Leanne Malouf.2 The Maloufs appeal the final judgment in a severed action dismissing their
1 TEX. CIV. PRAC. & REM. CODE ANN. ... More...
   $0 (04-02-2015 - TX)

Richard J. Malouf, DDS; Richard J, Malouf, DDS, PC; and Richard J. Malouf, DDS, PA v. The State of Texas ex rel. Dr. Christine Ellis, DDS and Madelayne Castillo

This interlocutory appeal presents the issue of whether claims brought by appellees
the State of Texas and relators Dr. Christine Ellis, DDS, and Madelayne Castillo under the Texas
Medicaid Fraud Prevention Act (TMFPA), see Tex. Hum. Res. Code §§ 36.001–.132, are subject
to the expert-report requirement of the Texas Medical Liability Act (TMLA), see Tex. Civ. Prac.
& Rem. Code ... More...
   $0 (04-02-2015 - TX)

Deborah Herting v. California Department of Health Care Services

In this case we are called upon to examine the relationship between “special needs trusts,” which allow certain individuals to qualify for public medical assistance under the federal Medicaid program, and the provisions entitling the state to recover the amounts it has paid to provide such assistance. Deborah Herting, trustee of the Alexandria A. Pomianowski Special Needs Trust, appeals... More...   $0 (03-27-2015 - CA)

United States of America v. Regina Swims-King

OXFORD, Miss. - Felicia C. Adams, United States Attorney for the Northern District of Mississippi; Donald Always, Special Agent in Charge at the Federal Bureau of InvestigationDerrick L. Jackson, Special Agent in Charge at the U.S. Department of Health and Human Services, Office of Inspector General; and Mississippi Attorney General Jim Hood announced that:

Regina Swims-King, 54, of Green... More...
   $0 (03-23-2015 - MS)

United States of America v. Edward J. Novak, Roy M. Payawal, and Clarence Nagelvoort

CHICAGO - The former owner and chief executive officer, the chief operating officer, and the chief financial officer of the now-closed Sacred Heart Hospital were convicted by a jury after a nearly two-month trial of collectively paying hundreds of thousands of dollars in illegal kickbacks in exchange for the referral of hospital patients who were insured by Medicare and Medicaid. The jury found th... More...   $0 (03-19-2015 - IL)

United States ex rel. Montejo v. Adventist Health System Sunbelt Healthcare

Orlando, FL – Adventist Health System Sunbelt Healthcare Corporation (Adventist) has agreed to pay $5,412,502 to resolve claims that it violated the False Claims Act by providing radiation oncology services to Medicare and TRICARE beneficiaries that were not directly supervised by radiation oncologists or similarly qualified persons, the Department of Justice announced today. Adventist is a non... More...   $0 (03-19-2015 - FL)

Glenda Martinez v. The Guardianship of J. Alan Smith

Glenda Martinez appeals an order appointing professional guardian John Cramer as plenary guardian for her husband, Alan Smith (“ward”). She maintains that the trial court erred in failing to apply the statutory presumption of section 744.3045(4), Florida Statutes (2012), where the ward had given her power-of-attorney and appointed her as his preneed guardian and health care surrogate. Because ... More...   $0 (03-18-2015 - FL)

United States of America v. Coastal Dermatology, and Dr. Sanjiva Goyal.

Jacksonville, FL - The United States settled allegations that a Jacksonville-based dermatology practice knowingly billed the government for services that were cosmetic in nature and not medically necessary, as well as “up-coded” certain bills to receive higher than allowed reimbursement. The allegations resolved included liability under the False Claims Act (FCA).

The government annou... More...
   $0 (03-17-2015 - FL)

In the Interest of T.R.M. aka E. T.M., T.J.W aka T.W., Children

Appellant T.R.R. aka T.R.W. (the Mother) appeals the termination of her
parental rights to the Children, T.R.M. aka T.M. (the Daughter) and T.J.W. aka
T.W. (the Son).1 In her sole issue, the Mother challenges the legal and factual
sufficiency of the evidence to support the trial court’s finding that termination of
her parental rights is in the Children’s best interest. Concludi... More...
   $0 (03-10-2015 - TX)

United States of America v. Dr. Alan Buhler, et al.

Miami, FL - Two South Florida medical doctors and their wives have agreed to settle allegations that they violated the False Claims Act when their wives accepted sham marketer salaries in exchange for their husbands’ referrals to a home health care company called A Plus Home Health Care Inc., the Justice Department announced today. Under the settlements, Dr. Alan and Lynn Buhler will pay to the ... More...   $0 (02-23-2015 - FL)

United States of America v. Robert Charles Duke and Vision and Eye Care Medical Diagnostic and Laser Center, Inc.

TULSA, OK — Robert Charles Duke and his Catoosa business, Vision and Eye Care Medical Diagnostic and Laser Center, Inc., have agreed to pay a total of $150,000 to settle allegations of submitting false Medicare and Medicaid claims to the United States and the State of Oklahoma.

The announcement was made by United States Attorney Danny C. Williams Sr. for the Northern District of Oklahom... More...
   $0 (02-19-2015 - OK)

United states of America v. Dr. Devon Colding

St. Louis, MO – DR. DEVON GOLDING has been convicted of multiple health care fraud related charges for billing for services not rendered and false statements involving a health care benefit plan. The five-day trial was held before United States District Judge John A. Ross. The verdict was returned late Friday evening, February 13, 2015.

According to testimony presented at trial, Dr. G... More...
   $0 (02-17-2015 - MO)

United States of America v. Betty Powell

OXFORD, Miss. - Felicia C. Adams, United States Attorney for the Northern District of Mississippi; Donald Alway Special Agent in Charge at the Federal Bureau of Investigation; Derrick L. Jackson, Special Agent in Charge at the U.S. Department of Health and Human Services, Office of Inspector General and Mississippi Attorney General Jim Hood announced that:

Betty Powell, 48, of Webb, Missi... More...
   $0 (02-13-2015 - MS)

United States of America v. Dr. Michael J. Reinstein

CHICAGO, IL — A long-time Chicago psychiatrist pleaded guilty to a federal crime for receiving illegal kickbacks and benefits totaling nearly $600,000 from pharmaceutical companies in exchange for regularly prescribing the anti-psychotic drug clozapine to his patients. The defendant, Dr. MICHAEL J. REINSTEIN, also agreed to pay the United States and the State of Illinois $3.79 million to settle... More...   $0 (02-13-2015 - IL)

United States of America v. Hussein “Sam” Awada

Two physicians who practiced in Warren pleaded guilty today to writing prescriptions for oxycodone without medical justification, and one also pleaded guilty to health care fraud, U.S. Attorney Barbara L. McQuade announced today.

McQuade was joined in the announcement by DEA Special Agent in Charge Joseph P. Reagan, Special Agent in Charge Lamont Pugh III of the U.S. Department of HHS Of... More...
   $0 (02-11-2015 - MI)

United States ex rel. Baker v. Community Health Systems Professional Services Corporation (CHSPSC), et al.

ALBUQUERQUE, NM – Community Health Systems Professional Services Corporation (CHSPSC) and three affiliated New Mexico hospitals (collectively CHS) have agreed to pay the United States $75 million to settle allegations that they violated the False Claims Act by making illegal donations to county governments which were used to fund the state share of Medicaid payments to the hospitals, the Justice... More...   $75000000 (02-09-2015 - NM)

Irma Barragan v. Nederland Independent School District

Appellant Irma Barragan appeals the trial court’s enforcement of a purported
Rule 11 agreement to settle the lawsuit and dismissal with prejudice of her
personal injury lawsuit against appellee Nederland Independent School District
(“NISD”). Barragan raises seven issues for our consideration. We reverse the trial
court’s orders and remand the cause for further proceedings c... More...
   $0 (02-05-2015 - TX)

United States of America v. Naeem Mahmood Kohli

NAEEM MAHMOOD KOHLI, 60, of Effingham, Illinois, was convicted of seven counts of illegal dispensation of a Schedule II Controlled Substance following a 17-day jury trial held in federal district court, the United States Attorney for the Southern District of Illinois, Stephen R. Wigginton, announced today.

Kohli faces up to 20 years for each of the seven counts of illegal dispensation of ... More...
   $0 (01-27-2015 - IL)

United States of America v. Melva Mitchell

FORT WORTH, TX — The owner/operator of a chiropractic clinic in Fort Worth, Texas, was sentenced this morning on a federal felony conviction stemming from her submission of false reimbursement claims to Medicare and Medicaid, announced Acting U.S. Attorney John Parker of the Northern District of Texas.

Melva Mitchell, 35, of Fort Worth, a licensed chiropractor, was sentenced by U.S. Dis... More...
   $0 (01-20-2015 - TX)

Maine Medical Center v. Sylvia M. Burwell, Secretary, U.S. Department of Health and Human Services

Maine Medical Center ("Maine
Medical") challenges a district court ruling upholding the decision
of the Secretary for the Department of Health and Human Services
("HHS") denying Maine Medical's claim for partial federal
reimbursement of "bad debt" for two fiscal years. Maine Med. Ctr.
v. Sebelius, No. 2:13-CV-00118-JAW, 2014 WL 1234173, at *1 (D. Me.
Mar. 25, 2014). A "bad ... More...
   $0 (01-05-2015 - ME)

United States of America v. John Q. A. Webb, Jr.

BEAUMONT, TX – A 75-year-old Beaumont doctor has been sentenced to federal prison for health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

John Q. A. Webb, Jr., now living in Houston, pleaded guilty on July 23, 2014 to conspiracy to commit health care fraud and was sentenced to 15 months in federal prison today by U.S. District Judg... More...
   $0 (01-01-2015 - )

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