Medicare Law
 
United States of America v. Rakesh Reddy Kothuru

Abingdon, Virginia criminal defense lawyer represented defendant charged with false representation of a medcaid matter in violation of 42 U.S.C. 1320.

Rakesh Reddy Kothuru, 49, pled guilty in January 2022 to one count of knowingly and willfully making false representations of material facts for payments under federal health care programs. The conviction means Kothuru is subject to mandat... More...
   $0 (05-23-2022 - VA)

Texas Health and Human Services Commission v. Estate of Clyde L. Burt, Linda S. Wallace, Executor, and Linda S. Wallace

Austin, Texas - Probate lawyer represented Appellee with a probate issue.



According to Wallace’s initial brief filed in the trial court, her parents, Clyde and
Dorothy Burt, bought a home in 1974. They lived in that home until December 22, 2010, when
they sold it to Wallace and her hus... More...   $0 (05-22-2022 - TX)

United States of America v. Pat Truglia

Newark, New Jersey criminal defense lawyer represented defendant charged with health care fraud and engaging in a kickback scheme.

Pat Truglia, 54, of Parkland, Florida, previously pleaded guilty before U.S. District Judge Kevin McNulty in Newark federal court to conspiracy to commit health care fraud. Judge McNulty imposed the sentence today in Newark federal court. Two co-defendants, Ni... More...
   $0 (05-20-2022 - NJ)

United States of America v. VirtuOx, Inc.

Miami, Florida white collar criminal defense lawyers represented Defendant charged wit submitting false claims to Medicare for reimbursement.

The United States alleged that, from January 2016 to December 2020, VirtuOx violated the False Claims Act by falsely identifying the place of service for certain services it performed to obtain a higher rate of reimbursement from Medicare. In par... More...
   $0 (05-19-2022 - FL)

United States of America v. Diane Mariani

Albuquerque, New Mexico criminal defense lawyer represented defendant charged with willful failure to collect or pay over tax.

Until 2015, Diane Mariani, age 66, of Taos, was co-owner, operator and treasurer of Taos RPM LLC, and beginning in 2015 Mariani, was co-owner, operator, and treasurer of Mountain Resort Management, Inc., in Taos, New Mexico. Mountain Resort Management did business... More...
   $0 (05-19-2022 - NM)

United States of America v. Bruce Stroud and Bobbi Stroud

Dallas, Texas criminal defense lawyer represented defendant charged with violating the federal Anti-Kickback Statute.

Bruce Stroud, 40, Bobbi Stroud, 39, husband and wife and residents of Prosper, Texas, and Kenric Griffin, 52, of Frisco, Texas, jointly owned and operated four orthotic brace suppliers: New Horizons Durable Medical Equipment, Striffin Medical Supply, 4B Ortho Supply, and G... More...
   $0 (05-16-2022 - TX)

United States of America v. Jesmina Ramirez

Miami, Florida criminal defense lawyer represented defendant charged with health care fraud and money laundering.

Jesmina Ramirez, 50, of Miami Gardens, laundered hundreds of thousands of dollars in fraud proceeds by cashing checks written from five fraudulent medical supply companies and returning that cash, minus a fee, to her co-conspirators. The five fraudulent medical supply companie... More...
   $0 (05-13-2022 - FL)

United States of America v. SHC Home Health Services of Florida, L.L.C.

Miami, Florida qui tam lawyers represented the United States, which sued SHC Home Health Services-Ocala, LLC., et al. on a False Claims Act whistleblower theory claiming Defendant improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.

Signature HomeNow operated home healthcare services in Florida and its corporate headquarters are lo... More...
   $2100000 (05-11-2022 - FL)

United States of America v. Shoua Isabelle

St. Paul, Minnesota criminal defense lawyer represented defendant charged with filing false federal income tax returns.

During tax years 2017 through 2018, Shoua Isabelle Yang, 45, the owner and operator of Atwork Staffing Inc., a staffing agency that provided temporary workers for multiple business clients, caused the agency not to properly withhold, account for, and pay over accurate pa... More...
   $0 (05-05-2022 - MN)

United States of America v. SHC Home Health Services of Florida, LLC

Louisville, Kentucky qui tam lawyers represented the United States in suing Defendants on False Claims Act violation theories.

SHC Home Health Services of Florida, LLC and its related entities (collectively “Signature HomeNow”) paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiari... More...
   $2100000 (05-05-2022 - KY)

Constance N. Titus v. Social Security Administration

Tulsa, Oklahoma social security lawyer represented Plaintiff seeking review of the denial of her application for SSID benefits by HHS.

42 U.S.C. 405 provides, in part:

Sec. 205. [42 U.S.C. 405] (b)[74](1) The Commissioner of Social Security is directed to make findings of fact, and decisions as to the rights of any individual applying for a payment under this title. Any such deci... More...
   $0 (04-29-2022 - OK)

United States of America v. Donald Woo Lee

Los Angeles, California criminal defense lawyer represented defendant charged with health care fraud.

Donald Woo Lee, 55, of Temecula, recruited Medicare beneficiaries to his clinics, falsely diagnosed the beneficiaries, and provided the beneficiaries with medically unnecessary procedures. Lee billed these unnecessary procedures to Medicare using an inappropriate code in order to obtain a... More...
   $0 (04-28-2022 - CA)

United States of America v. Robert John Sabet

Brooklyn, New York criminal defense lawyer represented defendant charged with health care fraud.

Robert John Sabet, 46, of Brooklyn, the owner of two New York City pharmacies, conspired to bill Medicare and Medicaid for expensive prescription drugs that were not needed by patients, were dispensed in connection with kickbacks, or, in some cases, not dispensed at all. As part of the conspir... More...
   $0 (04-28-2022 - NY)

United States of America v. Loyla Triana

Miami, Florida criminal defense lawyer represented defendant charged with health care fraud.

Loyda Triana, 65, of Miami, laundered the fraudulent proceeds of five fraudulent medical supply companies over a two-year period. These companies — BF Distributors Corp, Timely Medical Services Corp., Ortho-Med Solution Inc., Expedited Medical Supplies Corp., and Prime Orthopedic Solutions Corp ... More...
   $0 (04-27-2022 - FL)

United States of America v. Scott Lykens

Williamsport, Pennsylvania criminal defense lawyer represented defendant charged with willful failure to pay over taxes.

Scott Lykens, age 44, of State College, Pennsylvania, pleaded guilty in December 2021, to failure to pay over employment taxes. Lykens was the owner of a medical billing company, Keystone Medical Management Systems, doing business in Centre County, Pennsylvania. From 2... More...
   $0 (04-22-2022 - PA)

United States of America v. Elemer Raffai

Brooklyn, New York criminal defense lawyer represented defendant charged with health care fraud.

Elemer Raffai, age 56, an orthopedic surgeon, with health care fraud in connection with a $10 million scheme involving the submission of false and fraudulent claims to Medicare and Medicare Part D plans. Raffai was arrested today and will make his initial court appearance this afternoon in Uni... More...
   $0 (04-21-2022 - NY)

Melissa Chaudhry v. Springbok Health Inc. and Mark Jankelow

Denver, Colorado qui tam lawyers represented plaintiff, who sued Defendant on a false claims Act violation theory.

Springbok Health Inc., a medical clinic with locations in Colorado Springs and Pueblo West, Colorado, and Mark Jankelow, Springbok’s owner and Chief Executive Officer, have agreed to pay at least $125,000, and up to as much as $335,494, to resolve allegations they violated ... More...
   $0 (04-19-2022 - CO)

United States of America v. Providence Health & Services Washington

Spoken, Washington civil litigation lawyers represented Defendant accused of fraudulent billing Medicare, Medicaid and other federal health care providers for medically unnecessary neurosurgery procedures.

... More...
   $0 (04-12-2022 - WA)

Dawn Baker v. Dr. Abraham Rivera and Physician Partners of America LLC (PPOA)

Tampa, Florida civil litigation lawyers represented Defendants charged with violating the False Claims Act.

Physician Partners of America LLC (PPOA), headquartered in Tampa, Florida, its founder, Rodolfo Gari, and its former chief medical officer, Dr. Abraham Rivera, have agreed to pay $24.5 million to resolve allegations that they violated the False Claims Act by billing federal healthca... More...
   $0 (04-12-2022 - FL)

United States of America v. True Health Diagnostics, LLC, et al.

Sherman, Texas private private lawyers represented Defendants accused of defrauding the United States of America, which sued Defendants on a False Claims Act under 31 U.S.C. 3729.

Laboratory executives and employees at True Health Diagnostics LLC (THD) and Boston Heart Diagnostics Corporation (BHD) allegedly conspired with small Texas hospitals, including Rockdale Hospital dba Little Rive... More...
   $0 (04-08-2022 - TX)

United States of America v. Dionne Huffman and OGCC Behavioral Health Services, Inc.

Atlanta, Georgia civil litigation lawyers represented Defendants who were accused of violating the False Claims Act.

OGCC Behavioral Health Services, Inc. (“OGCC”) and its owner and Executive Director, Dionne Huffman, have agreed to pay $750,000 to resolve allegations that they violated the False Claims Act by, among other things, billing the government for services that they did not ... More...
   $750000 (03-31-2022 - GA)

United States of America v. William Acor

Las Vegas, Nevada criminal defense lawyer represented defendant charged with Willful Failure to Collect or Pay Over Tax in violation of 26 U.S.C. 7202.

pleaded guilty to one count of willful failure to collect and pay over employment taxes.

William Acor, age 62, was the President and Chief Executive Officer of Vision Airlines Inc., an airline headquartered in North Las Vegas. On... More...
   $0 (03-29-2022 - NV)

United States of America v. Mark Alan Zager

Miami, Florida criminal defense lawyer represented defendant charged with conspiracy to commit wire fraud and health care fraud in violation of 18:U.S.C.§1349.

Mark Alan Zager, 72, of Miami, conspired with Dennis Nobbe, a now-deceased chiropractor and owner of Dynamic Medical Services, located in Hialeah, Florida, to defraud Medicare, individual patients, and a financial services company... More...
   $0 (03-24-2022 - FL)

Montana Medical Association v. Austin Knudsen, et al.

Helena, Montana civil litigation lawyers represented Plaintiffs, who sued Defendants seeking a declaratory judgment determining the legality and enforceability of Montana House Bill 702 which conflicted with a Centers for Medicare & Medicaid Services (CMS) interim rule that requires staff of CMS certified facilities — such as hospitals, long-term care facilities and rehabilitation centers — t... More...   $0 (03-20-2022 - MT)

Horacio Eugenio Sobol v. Christine Marie Sobol

Richmond, VA - Divorce lawyer represented appellant with challenging the valuation and distribution of certain assets.



The parties were married in August 1998 and separated approximately twenty years later, on
July 1, 2018. Three children were born of the marriage.

Wife had earned a ... More...
   $0 (03-12-2022 - VA)

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