Medicare Law
 
Innovative Solutions Consulting. LLC v. Dr. Ashish Pal

Tampa, FL: False Claims Act lawyers represented Plaintiff, who sued Defendant charging violating the False Claims Act by performing medically unnecessary ablations and vein stent procedures.

From Jan. 1, 2013 to Dec. 31, 2019, Dr. Pal knowingly submitted false claims to federal health care programs for medically unnecessary ablations and vein stent procedures. The government alleged that... More...
   $0 (09-15-2021 - FL)

United States of America v. DOUGLAS F. GREER, M.D. AND DOUGLAS F. GREER, M.D., P.C., DOING BUSINESS AS DOWNTOWN OPHTHALMOLOGY CENTER

Washington, DC - Medical Malpractice lawyer represented defendant with performing needless medical procedures on his patients and asking Medicare to foot the bill charges.



Dr. Douglas Greer defrauded the government out of more
than $1 million. As early as 1999, Greer, an ophthalmologist,
performed needless medi... More...
   $0 (09-15-2021 - DC)

United States of America v. John Drago

Central Islip, NY: Illegal structuring of financial transactions and payroll tax evasion criminal defense lawyer represented Defendant, John Drago, age 57, the former owner/operator of several check cashing businesses on Long Island, pleaded guilty to illegally structuring financial transactions and payroll tax evasion. The proceeding took place before United States District Judge Gary R. Brown. ... More...   $0 (09-12-2021 - NY)

United States of America v. LILLIAN AKWUBA

Atlanta, Georgia - Criminal defense lawyer represented defendant with conspiring to distribute and distributing controlled substances and conspiring to commit and committing health care fraud charges.



Ms. Akwuba was convicted of issuing and conspiring to issue prescriptions
for controlled substances improperly, cons... More...
   $0 (09-09-2021 - GA)

United States and the State of Tennessee ex. rel. Suzanne Alt, et al. v. Anesthesia Services Associates, PLLC, et al.

Nashville, TN: False Claims Act violation lawyer represented John Davis, 43, of Franklin, Tennessee, and the former CEO of Anesthesia Services Associates, PLLC d/b/a Comprehensive Pain Specialists (“CPS”), agreed to a permanent voluntary exclusion from participation in federal procurement and non-procurement programs as part of an agreement to resolve the United States’ civil claims against ... More...   $0 (09-06-2021 - TN)

United States of America v. Connections Community Support Programs, Inc.

Wilmington, DE: False Claims Act Qui Tam lawyers represented the United States claiming that Connections Community Support Programs, Inc. alleging health care fraud arising under the federal False Claims Act and violations of the Controlled Substances Act. Prior to the sale of its assets in bankruptcy, CCSP provided a variety of mental health and addiction treatment services at numerous locations... More...   $15000000 (09-02-2021 - DE)

United States of America v. William Robert Fayant

Birmingham, AL: Health care fraud criminal defense lawyer represented Defendant, William Robert Fayant, age 56, of Liberty Lake, Washington, who was charged with one count of conspiracy to commit health care fraud.
“This defendant unlawfully enriched himself by defrauding federally funded health care programs,” U.S. Attorney Escalona said. “As a result of today’s sentence, he will fo... More...
   $0 (08-31-2021 - AL)

United States of America v. Sutter Health

San Francisco, CA: Civil litigation health care lawyers represented Defendants accused by the United States of America with wrongfully billing inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage Plans.

Sutter Health, a California-based health care services provider, and several affiliated entities including Sutter Bay Medical Foundation (dba Palo... More...
   $0 (08-30-2021 - CA)

United States of America v. Gary Hunsche

East St. Louis, IL: Willful Failure to Pay Over-Collected Employment Taxes criminal defense lawyer represented Defendant, Gary Hunsche, who was charged with filing to submit payroll taxes will be spending the
next few years behind bars.

“Tax fraud is not a victimless crime,” said U.S. Attorney Steven D. Weinhoeft. “Stealing from the
public fisc hurts all Americans, and t... More...
   $0 (08-18-2021 - IL)

Gregory M. Goodman, ex rel. United States of America v. Arriva Medical, LLC

Nashville, Tennessee civil litigation lawyers represented Defendant accused with violating the fal

Arriva Medical, LLC (Arriva), at one point the nation’s largest Medicare mail-order diabetic testing supplier, and its parent, Alere Inc. (Alere), agreed to pay $160 million to resolve allegations that they violated the False Claims Act. Until it ceased business operations in December 2017... More...
   $0 (08-13-2021 - TN)

United States ex rel. Zeth Holbert v. Tri-County Hospitalists, LLC

Philadelphia, PA: The Department of Justice accused Tri-County Hospitalists, LLC with violation the False Claims Act by False Claims Act by overbilling Medicare for advanced care planning (“ACP”) and tobacco cessation counseling (“TCC”) services. In many instances, TCH sought Medicare reimbursement for ACP and TCC services regardless of whether the counseling was necessary, voluntary, or... More...   $0 (08-13-2021 - PA)

Felix Levy, ex rel. United States of America v. San Mateo County Medical Center and San Mateo County

San Francisco, California False Claims Act lawyer represented Plaintiff, who claimed that Defendants violated the False Claims Act by submitting or causing the submission of claims to Medicare for non-covered inpatient admissions.

Medicare reimburses only services that are reasonable and necessary for the diagnosis or treatment of illness or injury. The United States alleged that, from Ja... More...
   $0 (08-09-2021 - CA)

United States of America v. ASHOT MINASYAN

San Francisco, California - Criminal defense lawyer represented defendant with a conspiracy to commit health care fraud charge.



In June 2015, the government filed its Second
Superseding Indictment against Dr. Robert Glazer, Marina
Merino, Angela Avetisyan, and Minasyan.1 The
government alleged that betwee... More...
   $0 (08-08-2021 - CA)

United States of America, ex rel. et al v. Laboratory Corporation of America Holdings (LABCORP) et al.

Atlanta, Georgia civil litigation lawyers represented Defendant accused of charging for medically unnecessary Schedule II controlled substances.

North Georgia Healthcare Center, Inc. (“NGHC”), a Ringgold, Georgia, based nonprofit corporation and healthcare provider, as well as its CEO, Delaine Hunter, have agreed to pay $130,000.00 dollars to settle allegations that they violated the ... More...
   $130000 (08-03-2021 - GA)

United States of America v. Bluewater Toxicology, LLC

Lexington, Kentucky clinical laboratory represented by a civil litigation lawyer accused of violating the False Claims Act, a federal law that prohibits submitting false or fraudulent claims to the federal government.

The Unites States alleged three issues relating to claims for urine drug testing services that Bluewater Toxicology, LLC submitted to Medicare, Kentucky Medicaid, Indiana Me... More...
   $1252403 (07-27-2021 - KY)

United States ex rel. Pennetti v. Interface Rehab, et al.

Los Angeles, California criminal defense lawyer represented Defendant charged with violation of False Claims Act by causing the submission of claims to Medicare for rehabilitation therapy services that were not reasonable or necessary.

During the relevant time period, Medicare reimbursed skilled nursing facilities at a daily rate that reflected the skilled therapy and nursing needs of qua... More...
   $0 (07-23-2021 - CA)

United States and the State of California ex rel. Martin Mansukhani v. Prime Healthcare Services, Inc., et al.

Los Angeles, California civil litigation lawyers represented Defendants charged with violations of the False Claims Act and the California False Claims Act.

Prime Healthcare Services and Two Doctors Agree to Pay $37.5 Million to Settle Allegations of Kickbacks, Billing for a Suspended Doctor, and False Claims for Implantable Medical Hardware

One of the largest hospital systems i... More...
   $0 (07-19-2021 - CA)

United States of America v. Akop Atoyan

Sacramento, California criminal defense lawyer represented defendant charged with one count of conspiracy to commit health care fraud and one count of conspiracy to pay and receive health care kickbacks.

Akop Atoyan, age 48, of Glendale, and his wife, Liana Karapetyan, owned and controlled home health care and hospice agencies in the greater Sacramento area: ANG Health Care Inc., Excel ... More...
   $0 (07-16-2021 - CA)

United States of America v. Genetworx Laboratories

Newark, New Jersey false claims (qui tam) lawyer represented Defendant, Genetworx Laboratories, sued for violating the False Claims Act by submitting or causing to be submitted claims for genetic tests to Medicare without valid physician oversight, Acting U.S. Attorney Rachael A. Honig announced today.

According to the contentions of the United States contained in the settlement agreemen... More...
   $0 (07-13-2021 - NJ)

United States of America v. Dennis Alexander Barahoma

Jacksonville, Florida conspiracy to commit wire fraud charge criminal defense lawyer represented Defendant, Dennis Alexander Barahona, age 38, from Chelsea, Massachusetts with conspiracy to commit wire fraud and conspiracy to commit tax fraud.

Barahona had pleaded guilty on March 29, 2021. Barahona’s co-defendant, Gregorio Jose Fuentes-Zelaya, was sentenced on May 10, 2021, to 33 month... More...
   $0 (07-11-2021 - FL)

United States of America v. St. Jude Medical, Inc.

Baltimore, Maryland civil litigation lawyer allegation lawyer represented Defendant who was accused for defrauding the United States in violation of the False Claims Act.

St. Jude Medical Inc. (St. Jude) has agreed to pay $27 million to settle allegations under the False Claims Act that, between November 2014 and October 2016, it knowingly sold defective heart devices to health care facil... More...
   $27000000 (07-09-2021 - MD)

United States of America v. Alere, Inc. and Alere San Diego, Inc.

Newark, NJ: Medical device manufacturers Alere Inc. and Alere San Diego Inc. of violting the False Claims Act by billing, and causing others to bill, the Medicare program for defective rapid point-of-care testing devices.

From 2008 to 2016, Alere knowingly sold defective INRatio blood coagulation monitors used by Medicare beneficiaries taking anticoagulant drugs, such as warfarin. For th... More...
   $0 (07-09-2021 - NJ)

United States of America v. Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A.

Greensboro, North Carolina Medicaid and Medicare fraud charge fraud accusation lawyer represented Defendants, Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A.

Defendants Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A., of Greensboro and High Point, submitted false claims to Medicaid and Medicare.... More...
   $0 (07-04-2021 - NC)

U.S. ex rel. Doe v. Select Medical Corporation et al.

Newark, New Jersey False Claims Act violation lawyers represented Relators.

A contract rehabilitation therapy provider will pay $8.4 million to resolve allegations that it violated the False Claims Act (FCA) by knowingly causing 12 skilled nursing facilities (SNFs) in New York and New Jersey to submit false claims to Medicare for services that were not reasonable, necessary, or skilled, ... More...
   $0 (07-03-2021 - NJ)

Jennifer Williams v. Social Security Administration

Opelika, AL: Disability lawyer represented Plaintiff seeking review of the denial of his or her application for SSID or DIWC/DIWW benefits by HHS.

42 U.S.C. 405 provides:

(a) The Commissioner of Social Security shall have full power and authority to make rules and regulations and to establish procedures, not inconsistent with the provisions of this title, which are necessary or ... More...
   $0 (07-01-2021 - AL)

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