Medicaid Law
 
United States of America v. Wendell Lewis Randall

Roanoke, Virginia criminal defense lawyer represented the Defendant charged with conspiring with others to use, in the course of dispensing and distributing controlled substances, a DEA registration number issued to another person. DEA registration numbers are unique identifiers issued to medical providers in order to track who issues drug prescriptions and to ensure only qualified providers pres

More...   $0 (11-22-2023 - VA)

Lauren Osaki v. Social Security Administration

Honolulu, Hawaii social security disability lawyer represented the Plaintiff seeking review of the denial of her application for Social Security: SSID Tit. XVI benefits by HHS.

"Social Security Supplemental Security Income (SSI) is a federal income supplement program funded by general tax revenues that provides financial assistance to low-income individuals who are aged, blind, or disable

More...   $0 (10-27-2023 - HI)

United States of America v. Nostrum Laboratories Inc. and Nirmal Mulye, Ph.D.

Boston, Massachusetts qui tam lawyers represented the Defendant accused of violated the False Claims Act by knowingly underpaying Medicaid rebates due for Nostrum’s drug Nitrofurantoin Oral Suspension (Nitro OS).

Pursuant to the Medicaid Drug Rebate Program, drug manufacturers are required to pay quarterly rebates to state Medicaid programs in exchange for Medicaid’s coverage of the m

More...   $0 (10-31-2023 - MA)

United States of America v. Debra Shaffer

Roanoke, Virginia criminal defense lawyer represented the Defendant charged with using the DEA Registration number of another while prescribing controlled substances.

Debra Shaffer, of New Castle, Virginia r was an important part of a years-long scheme to illegitimately distribute Suboxone by staff providers who lacked the training, experience, and legal authority to prescribe Suboxone

More...   $0 (10-24-2023 - VA)

M.J.T. v. Social Security Administration

Pendleton, Oregon social security disability lawyer represented the Plaintiff seeking review of the denial by HHS of her applicaiton for Social Security: SSID Tit. XVI benefits.

"ocial Security Title XVI benefit law, also known as Supplemental Security Income (SSI), is a federal program that provides financial assistance to low-income individuals who are aged, blind, or disabled. SSI is a

More...   $1 (10-20-2023 - OR)

United States of America v. Edgewater Systems for Balanced Living, Inc.

Hammond, Indiana qui tam lawyers represented the Defendant accused of fraudulently billing the Indiana Medicaid program.

The Government claimed that Edgewater Systems for Balanced Living, Inc., a healthcare provider in Gary, Indiana that provides mental health services, for fraudulently billing the Indiana Medicaid program.

The Indiana Medicaid program provides healthcare for low

More...   $0 (09-29-2023 - IN)

United States of America v. Moustafa Moustafa M.D., Nephrology and Hypertension Center Inc.

Newark, New Jersey civil litigation lawyers represented Defendants accused for violating the False Claims Act.

Moustafa Moustafa M.D. and his medical practice, South Carolina Nephrology and Hypertension Center Inc., of Orangeburg and Bamberg, South Carolina, agreed to pay $585,540 to resolve False Claims Act allegations that they received illegal kickbacks in violation of the Anti-Kickbac

More...   $585650 (09-28-2023 - NJ)

United States of America v. Stanton Witherspoon, et al.

Miami, Florida criminal defense lawyers represented Defendants charged with participation in a wire fraud scheme, known as Operation Nightingale, that created an illegal licensing and employment shortcut for aspiring nurses.

According to public records, residents of Florida, along with individuals from other states, were charged for their involvement in a scheme to sell fraudulent nursi

More...   $0 (09-28-2023 - FL)

United States of America v. The Cigna Group

Nashville, Tennessee civil litigation lawyers represented the Defendant accused of violating the False Claims Act by submitting to the Government false and invalid patient diagnosis codes to artificially inflate the payments CIGNA received for providing insurance coverage to its Medicare Advantage plan members.

The Government’s Complaint alleged that the invalid diagnosis codes were b

More...   $37000000 (09-29-2023 - TN)

United States of America v. Shalondria Simpson and Advance Pharmacy and TruCAre Pharmacy

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud, kickback, and money laundering.

Shalondria Simpson, 45, of Houston, is a pharmacist who owned and operated two pharmacies in Houston: Advance Pharmacy (Advance) and TruCare Pharmacy (TruCare). Simpson’s twin sister, physician Lashondria Simpson-Camp, 45, of Allen, Texas, allegedly referred

More...   $0 (09-26-2023 - TX)

United States of America v. Justin G. LaMonda

St. Louis, Missouri criminal defense lawyer represented the Defendant who was charged with making false statements relating to health care matters.

Justin G. LaMonda’s crimes originated after the Missouri Board of Registration for the Healing Arts suspended his medical license for 30 days in 2017 after he was accused of engaging in sexual activity with his office manager and prescribing

More...   $0 (09-14-2023 - MO)

Krystin Butler ex rel. United States of America, et al. v. Michael K. Chrism, II and Mile High Psychiatry, LLC

Denver, Colorado fraud claim defense lawyer represented Defendants charged with violating the False Claims Act.

Michael K. Chism, II and Mile High Psychiatry, LLC were accused of violating the False Claims Act by knowingly double-billing time in order to unlawfully obtain increased payments from Medicare and Medicaid.

Mile High Psychiatry is a Colorado company located in Aurora t

More...   $0 (09-12-2023 - CO)

United States of America v. Nina Bourrett

Columbia, South Carolina criminal defense lawyer represented Defendant charged with making false and fraudulent statements on claims submitted to Medicaid.

Nina Bourret, 41, of Greenville, was an owner of Agapi Behavior Consultants, Inc., which provided Applied Behavior Analysis therapy to treat Autism Spectrum Disorder. From February 2021 to December 2022, Bourret submitted electronic c

More...   $0 (08-25-2023 - SC)

United States of America v. Rajendra Bothra, M.D., Pain Center USA, P.L.L.C. and Interventional Pain Center, P.L.L.C.

Detroit, Michigan civil litigation lawyer represented Defendant with violating the Qui Tam False Claims Act by billing Medicare and Medicaid for for unnecessary treatments, drug tests and braces.

A Michigan interventional pain management specialist, Rajendra Bothra, M.D., and two medical entities that he owned and operated, The Pain Center USA, PLLC, and Interventional Pain Center, PLLC,

More...   $0 (08-30-2023 - MI)

B.C.R. v. Social Security Administration

Milwaukee, Wisconsin social security disability lawyer represented Plaintiff seeking review of the denial by HHS of his application for Social Security: SSID Tit. XVI benefits.

"The acronym SSID stands for Supplemental Security Income, which is a different program from Title XVI of the Social Security Act.

Title XVI is the part of the Social Security Act that establishes the

More...   $0 (08-16-2023 - WI)

United States of America v. Air Methods Corporation

Lexington, Kentucky criminal defense lawyer represented Defendant charged with failing to return known overpayments received from Medicare, Kentucky Medicaid, Tricare, and the Department of Veterans Affairs in violation of the False Claims Act.

The United States alleged that Air Methods violated the False Claims Act, by improperly retaining overpayments for more than 100 flights that it

More...   $1000000 (08-15-2023 - KY)

M.C.P. v. Social Security Administration

Albany, New York social security disability lawyer represented Plaintiff seeking review of the denial of his application for Social Security: SSID Tit. XVI benefits by HHS.

"SSID stands for Supplemental Security Income. It is a federal program that provides monthly cash benefits to low-income adults and children with disabilities. To be eligible for SSID benefits, you must meet the follow

More...   $0 (08-11-2023 - NY)

TCK v. Social Security Administration

Richmond, Virginia social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: SSID Tit. XVI by HHS.

"Title XVI of the Social Security Act, also known as the Supplemental Security Income (SSI) program, is a federal program that provides financial assistance to low-income individuals and families who are aged, blind, or disab

More...   $0 (08-03-2023 - VA)

Jibril Dallas Salami v. Commissioner of the Social Security Administration

Dallas, Texas social security disability lawyer represented Plaintiff seeking review of the denial of his application for Social Security: SSID Title XVI benefits.

Supplemental Security Income (SSI) is a federal program that provides cash payments to individuals who are elderly, blind, or disabled and have low incomes. In addition to the federal payment, some states add a small supplemen

More...   $0 (07-24-2023 - TX)

United States of America ex rel. Toby Markowitz and Elizabeth Ringold v. NextGen Healthcare, Inc.

Burlington, Vermont civil litigation lawyers represented Defendant accused of violating the False Claims Act by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software.

“Electronic health records are an essential part of our healthcare system” said Principal Deputy Assis

More...   $0 (07-14-2023 - VT)

United States of America v. Recovery Services, LLC

Lexington, Kentucky civil litigation lawyer represented Defendant accused of violating the False Claims Act,

a federal law that prohibits causing the submission of false or fraudulent claims to the federal government.

The United States alleged that Recovery Services, LLC, formerly known as Recovery Chestnut, billed Kentucky Medicaid for urine drug screens for patients who did

More...   $300000 (07-17-2023 - KY)

Kathleen K. McMillian v. Social Security Administration

Fort Worth, Texas social security disability lawyer represented Plaintiff seeking review of the denial by HHS of her application for Social Security: SSID Title XVI benefits.

Social Security SSID Title XVI benefits, also known as Supplemental Security Income (SSI), is a federal program that provides cash payments to low-income individuals who are blind, disabled, or aged (65 years or olde

More...   $0 (07-13-2023 - TX)

Janice Progin v. UMass Memorial Health Care Inc., et al.

Worcester, Massachusetts civil rights lawyer represented Plaintiff who sued defendant on a job discrimination theory.

Janice Progin filed this putative class action in Massachusetts Superior Court against UMass Memorial Health Care, Inc., UMass Memorial Hospitals, Inc., UMass Memorial Medical Center, Inc., UMass Memorial HealthAlliance-Clinton Hospital, Inc., Marlborough Hospital, and Har

More...   $0 (07-14-2023 - MA)

United States of America v. Jessica Joyce Spayd

Anchorage, Alaska criminal defense lawyer represented Defendant charged with r illegally prescribing and dispensing opioids outside the scope of legitimate medical practice that resulted in the deaths of five people between 2014 and 2019.

A jury convicted Jessica Joyce Spayd, age 52, on October 27, 2022, of 10 crimes including five counts of illegal drug distribution that resulted in de

More...   $0 (06-28-2023 - AK)

United States of America v. Billy Joe Taylor

Fort Smith, Arkansas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud and money laundering.

Billy Joe Taylor, age 44, pleaded guilty to conspiracy to commit health care fraud and money laundering on October 27, 2022. According to court documents, Taylor and his co-conspirators submitted more than $134 million in false and fraudulent claims

More...   $0 (06-09-2023 - AR)

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AK Morlan
Kent Morlan, Esq.
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