WASHINGTON – The United States has partially intervened against defendants in two whistleblower lawsuits in the Federal District Court for the District of Colorado alleging Evercare Hospice and Palliative Care (Evercare) submitted false claims for the Medicare hospice benefit. Evercare is now known as Optum Palliative and Hospice Care, which provides hospice services across the United States. ... More...   $0 (08-29-2014 - CO)

HOUSTON, TX – Andrea Michelle Tellison, 47, has been ordered to federal prison for eight years following her convictions of 14 counts of health care fraud and seven counts of aggravated identity theft, announced United States Attorney Kenneth Magidson. A jury convicted Tellison April 2, 2014, following three days of trial and less than two hours of deliberation. Today, U.S. District Judge Lee Ro... More...   $0 (08-26-2014 - TX)

Miami, FL - A co-owner of Professional Medical Home Health LLC was sentenced today to serve 70 months in prison and ordered to pay $6.2 million in restitution for her participation in a health care fraud scheme involving the now defunct home health care company.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Assistant Attorney General Leslie R. Caldwell of the Justic... More...   $0 (08-26-2014 - FL)

Appellants Jerron C. Hill, M.D., individually, and Jerron C. Hill, M.D., P.A. appeal the trial court’s grant of summary judgment in favor of Tx-An Anesthesia Management, LLP, M2 Healthcare Services, LP, and Anesthesia Business Consultants. Appellants complain, in three issues, that the trial court erred in granting summary judgment because appellees failed to prove that all of appellants’ clai... More...   $0 (08-25-2014 - TX)

GRAND RAPIDS, MICHIGAN – United States District Judge Robert Holmes Bell sentenced Dr. Shannon Wiggins, 45, of Okemos, Michigan to two years of imprisonment on charges of receipt of health care kickback payments and falsifying an income tax return, U.S. Attorney Patrick A. Miles, Jr. announced today. The convictions arise from an Indictment which charged that between January 2004 and April 2011 ... More...   $0 (08-22-2014 - MI)

HOUSTON, TX – Lawrence Tyler, 42, has been ordered to prison for six years following his convictions of conspiracy to commit health care fraud, seven counts of health care fraud and one count of money laundering, announced United States Attorney Kenneth Magidson. A Houston jury convicted Tyler on May 12, 2014, following five days of trial and less than four hours of deliberation.

Today... More...   $0 (08-22-2014 - TX)

Dr. Mohan Kutty appeals the district court’s
affirmance of the Department of Labor (DOL) Administrative Review Board’s (ARB)
determination that he is personally liable for back wages, including expenses physicians hired by
his clinics incurred in obtaining their J-1 waivers and H-1B visas, and civil penalties. Kutty ran
medical clinics in Tennessee and Florida under several cor... More...   $0 (08-20-2014 - TN)

This case arose out of the Department of Health and Welfare’s (IDHW) attempt to recover Medicaid benefits from Melvin Peterson’s estate that were paid during his lifetime. At issue is whether any part of a real estate transfer from Melvin Peterson to his daughter Cathie Peterson is subject to Medicaid recovery.
I. FACTUAL AND PROCEDURAL BACKGROUND
The relevant facts of this case are no... More...   $0 (08-13-2014 - ID)

In this False Claims Act (“FCA”) qui tam suit, relators Drs. Dakshesh Parikh, Harish Chandna, and Ajay Gaalla (collectively, the “Relators”) sued Citizens Medical Center (“CMC”), David Brown (“Brown”), and Dr. William Campbell, Jr. (“Campbell”). Brown and Campbell (collectively, “Appellants”) moved to dismiss the complaint based upon qualified immunity, and the district cou... More...   $0 (08-11-2014 - TX)

Plaintiff‐appellant Jesse Polansky appeals a dismissal of his claims against
defendant‐appellee Pfizer, Inc. for alleged violations of the False Claims Act and
state law equivalents. From 2001 to 2003, Polansky, a medical doctor, worked at
Pfizer, and during his tenure he came to believe that Pfizer had violated various
laws. He complained internally about the alleged violation... More...   $0 (08-06-2014 - NY)

Miami, FL - Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Leslie R. Caldwell, Assistant Attorney General, Criminal Division Department of Justice, George L. Piro, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office and Ryan Lynch, Acting Special Agent in Charge, U.S. Department of Health and Human Services Office of Inspector General (HHS-... More...   $0 (07-24-2014 - FL)

TYLER, TX – A Dallas County, Texas, physician has been convicted of 15 counts of health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

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 followi... More...   $0 (07-24-2014 - TX)

Mobile, Alabama-based Infirmary Health System Inc. (IHS), two IHS-affiliated clinics and Diagnostic Physicians Group P.C. (DPG) have agreed to pay the United States $24.5 million to resolve a lawsuit alleging that they violated the False Claims Act by paying or receiving financial inducements in connection with claims to the Medicare program, the Justice Department announced today.

“Fin... More...   $0 (07-21-2014 - AL)

We conclude that Welfare and Institutions Code section 14053.1—under which the State of California, rather than its counties, pays for ancillary outpatient services for Medi-Cal eligible patients ages 21 to 64 in an “institution for mental diseases” (IMD)—remains a valid law.1
In reaching this conclusion, we find that Welfare and Institutions Code section 14053.1’s presence in the Ca... More...   $0 (07-18-2014 - CA)

DALLAS, TX — A licensed pharmacist, who along with four co-defendants was convicted at trial earlier this year for their roles in a “pill mill” operation in Dallas, was sentenced this afternoon, announced U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.

Lisa L. Hollier, 44, of Sunnyvale, Texas, was sentenced by U.S. District Judge Barbara M. G Lynn to 60 months in ... More...   $0 (07-14-2014 - TX)

This is an accelerated appeal from the trial court’s denial of the University of Houston’s plea to the jurisdiction. The University argues that the trial court erred in denying the plea because appellee John Casey did not satisfy the jurisdictional prerequisites to suit under the Texas Whistleblower Act, TEX. GOV’T CODE ANN.

2

§ 554.002 (West 2012). We conclude that Casey fail... More...   $0 (07-03-2014 - TX)

This case concerns California’s generous program of home- and community-based care for developmentally disabled residents. To fund its program, California relies in large part on federal money provided under the Medicaid Act (“the Act”), 42 U.S.C. §§ 1396–1396w-5. California has reduced the funding for this program, as it has for other Medicaid-funded programs at various times, and, as i... More...   $0 (06-30-2014 - CA)

April McCrory v. Martha E. Bernal

Issue # 1.
Issue: FRIENDLY SUIT (SUIT)
Filed by: Mccrory, April
Filed Date: 05/19/2014
Party Name: Disposition Information:

Plaintiff: Mccrory, April
Disposed: ORDER APPROVING SETTLEMENT, 06/27/2014. Judge.

COME NOW, Plaintiff; April McCrory, Individually and as Parent and Next Friend of J,M. and 3M., minor chi... More...   $1 (06-27-2014 - OK)

Miami, FL - The owner and operator of Nestor’s Health Services, Inc. (Nestor HH), a now-defunct Miami home health care agency, pleaded guilty today in connection with a $6.5 million health care fraud scheme.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Acting Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, Special Ag... More...   $0 (06-23-2014 - FL)

¶1 Laurel M. Luna; Veronica Grajeda; Kindred Keepers Adult
Day Center, LLC; and Kindred Keepers At Home Services, LLC
appeal the default judgment entered below in favor of Barbara
Wachocki and Rest Easy Adult Day Care, Inc. (Rest Easy). We
affirm in part, vacate in part, and remand this matter to the district
court for further proceedings consistent with this memorandum
de... More...   $0 (06-19-2014 - UT)

Miami, FL - A former patient recruiter pleaded guilty today in Miami, Florida, for his role in a $205 million Medicare fraud scheme.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, Special Agent in Charge George Piro of the FBI’s Miami Field Office and Acting Special Agent... More...   $0 (06-19-2014 - FL)

Miami, FL - An office worker pleaded guilty today in connection with a health care fraud scheme involving Anna Nursing Services Corp. (Anna Nursing), a defunct home health care company.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Assistant Attorney General Leslie R. Caldwell of the Justice Department’s Criminal Division, Special Agent in Charge George L. Piro of... More...   $0 (06-18-2014 - FL)

Two Florida men were sentenced today in the Middle District of Florida for their roles in a fraud scheme involving the submission of more than $10 million in fraudulent claims to Medicare for physical therapy.

Acting Assistant Attorney General David A. O’Neil of the Justice Department’s Criminal Division, U.S. Attorney for the Middle District of Florida A. Lee Bentley III, Acting Spec... More...   $0 (05-22-2014 - FL)

Baptist Health System Inc. (Baptist Health), the parent company for a network of affiliated hospitals and medical providers in the Jacksonville, Florida, area, has agreed to pay $2.5 million to settle allegations that its subsidiaries violated the False Claims Act by submitting claims to federal health care programs for medically unnecessary services and drugs, the Department of Justice announced ... More...   $0 (05-06-2014 - CL)

After Congress passed the
Personal Responsibility and Work Opportunity Reconciliation Act of
1996 ("PRWORA"), narrowing the eligibility of non-citizens for
Medicaid and other federal benefits, the state of Maine responded
in 1997 by extending state-funded medical assistance benefits to
certain legal aliens rendered ineligible for Medicaid. In 2011,
the Maine Legislature ter... More...   $0 (04-28-2014 - ME)