Medicare Law
 
United States of America v. Patricia Omorogbe

Chicago, Illinois criminal law lawyer represented Defendant charged with home health care fraud.

Patricia Omorogbes, age 61, and Felix Omorogby, age 71, owned and operated three home health companies: A&Z Home Health Care and Dominion Home Health Care, both located in Lansing, and Alliance Home Health Care, located in Hammond, Indiana. From approximately January 2009 to June 2018, the Om... More...
   $0 (09-30-2022 - IL)

United States of America v. Biogen, Inc.

Boston, Massachusetts criminal law lawyer represented Defendant charged with violating the False Claims Act by causing the submission of false claims to Medicare and Medicaid by paying kickbacks to physicians to induce them to prescribe Biogen drugs.

In his lawsuit filed in the District of Massachusetts, Bawduniak alleged that Biogen paid kickbacks to physicians to induce them to prescri... More...
   $843805187 (09-26-2022 - MA)

Texas Health Harris Methodist Hospital Fort Worth v. Stephen Featherly

Fort Worth, Texas Personal Injury lawyer represented Defendant challenging hospital’s lien.



In this case, a hospital filed a statutory lien against an emergency room patient’s
personal injury cause of action, and the patient brought this declaratory judgment action
to challenge the validity of the hospital’s lien... More...
   $0 (09-20-2022 - TX)

United States of America v. Dr. Kenneth Mitchell

Detroit, Michigan criminal law lawyer represented Defendant charged with defrauding Medicare by billing for services under another doctor’s name after Medicare revoked his privileges to participate in the program.

The defendant, Dr. Kenneth Mitchell, 60, of Oakland County, Michigan, was also charged for falsification of records designed to prevent detection of this fraud and aggravated ... More...
   $0 (09-17-2022 - MI)

United States of America v. Randall Halley

Springfield, Missouri criminal lawyer represented Defendant charged with making a false statement related to healthcare and to Conspiring with Employees to Illegally Issue Controlled Substances to Patients

On Dec. 7, 2021, Halley pleaded guilty to one count of making a false statement to Medicare to obtain insurance coverage for a fentanyl prescription and to one count of conspiracy to us... More...
   $0 (09-13-2022 - MO)

United States of America v. Crystal Deveaux

Columbia, South Carolina criminal lawyer represented Defendant charged with theft of Government Funds totaling over $258,000.00.

Evidence presented to the Court showed Crystal Deveaux, age 61, of Eastover, South Carolina, unlawfully obtained Social Security Retirement Insurance Benefits (RIB) on behalf of her deceased grandmother, which she used for her own personal benefit from June 2001... More...
   $0 (09-12-2022 - SC)

United States ex rel. Simpson v. Bayer Corp.

Minneapolis, Minnesota qui tam lawyers represented Plaintiff, who sued Defendant on False Claims Act violations.

Bayer Corporation, an Indiana corporation and manufacturer of pharmaceutical products, and its related entities, Bayer HealthCare Pharmaceuticals Inc., Bayer HealthCare LLC and Bayer AG (collectively “Bayer”), agreed to pay $40 million to resolve alleged violations of the F... More...
   $0 (09-06-2022 - MN)

United States of America v. Mark Schena

San Jose, California criminal lawyer represented Defendant charged with conspiracy to commit health care fraud, health care fraud, conspiracy to pay kickbanks and paying illegal kickbacks.

Mark Schena, 59, of Los Altos, California, served as the president of Arrayit Corporation. According to court documents and evidence presented at trial, Schena engaged in a scheme to defraud Arrayit’s... More...
   $0 (09-02-2022 - CA)

United States, et al., ex rel. Respiratory Care., LLC v. Respironics, Inc., et al.

Charleston, South Carolina civil litigation lawyers represented Defendant accused of violation the False Claims Act.

Philips RS North America LLC, formerly known as Respironics Inc., a manufacturer of durable medical equipment (DME) based in Pittsburgh, Pennsylvania, has agreed to pay over $24 million to resolve False Claims Act allegations that it misled federal health care programs by p... More...
   $0 (09-02-2022 - SC)

United States, et al., ex rel. Respiratory Care., LLC v. Respironics, Inc., et al.

Charleston, South Carolina civil litigation lawyers represented Defendant accused of violating the False Claims Act.

Philips RS North America LLC, formerly known as Respironics Inc., a manufacturer of durable medical equipment (DME) based in Pittsburgh, Pennsylvania, agreed to pay over $24 million to resolve False Claims Act allegations that it misled federal health care programs by payi... More...
   $0 (09-01-2022 - )

United States et al. ex rel. Bruce Carroll v. BSN Medical, Inc., et al.

Charlotte, North Carolina civil litigation lawyers represented Defendant charged with violating the False Claims Act.

Charlotte-based BSN Medical Inc. (BSN) has agreed to resolve allegations that it marketed and promoted various products that did not meet the Medicare or Medicaid program’s reasonable and necessary requirements, thereby causing the submission of false claims for payment ... More...
   $0 (08-25-2022 - NC)

United States of America v. Essilor International, Essilor of America Inc., Essilor Laboratories of America Inc. and Essilor Instruments USA (collectively, “Essilor”)

Dallas, Texas civil litigation lawyers represented Defendant accused for violating the False Claims Act by paying kickbacks by causing claims to be submitted to Medicare and Medicaid.

Essilor manufactures, markets and distributes optical lenses and equipment used to produce optical lenses. The United States alleged that between Jan. 1, 2011, and Dec. 31, 2016, Essilor knowingly and willfu... More...
   $0 (08-23-2022 - TX)

United States of America v. Familia Healthcare Services, Inc. d/b/a Del Cielo Hospice and Palliative Care

Corpus Christi, Texas criminal lawyer represented Defendant charged with violating the False Claims Act by submitting claims to Medicare for non-covered hospice services.

Familia Healthcare Services Inc. dba Del Cielo Hospice and Palliative Care knowingly submitted false claims from May 12, 2017, through Jan. 31, 2022. The claims allegedly involved hospice services for patients who were n... More...
   $0 (08-19-2022 - TX)

United States of America v. Mitchell Spivack

Philadelphia, Pennsylvania criminal law lawyer represented Defendant charged with illegally dispensing controlled drugs.

Philadelphia-based Spivack, Inc., previously operating under the name Verree Pharmacy, and owner-pharmacist Mitchell Spivack, to resolve allegations that they engaged in a years-long practice of illegally dispensing opioids and other controlled substances, and systemati... More...
   $0 (08-14-2022 - PA)

Linda P. Smith v. Xavier Becerra

Salt Lake City, Utah civil litigation lawyer represented Plaintiff, who sued Defendant seeking reimbursement for health care.

Like many diabetics, Linda Smith uses a prescribed continuous glucose
monitor (CGM) to track and regulate her glucose levels. When Smith purchased
her CGM and its necessary supplies between 2016 and 2018, she sought
reimbursement for her expenses throug... More...
   $0 (08-12-2022 - UT)

United States of America v. Spivack, Inc.

Philadelphia, Pennsylvania civil litigation lawyers represented party accused of illegally dispensing opioids.

Philadelphia-based Spivack, Inc., previously operating under the name Verree Pharmacy, and owner-pharmacist Mitchell Spivack, agreed to pay over $4 million to resolve allegations that they engaged in a years-long practice of illegally dispensing opioids and other controlled subst... More...
   $4000000 (08-11-2022 - PA)

United States of America v. Thomas Valdez Rodriguez

Midland, Texas criminal law lawyer represented Defendant charged with failing to pay employment taxes withheld from the employees of his trucking company.

Thomas Valdez Rodriguez, 45, was the owner of both Tom-E-Lee Trucking and Tom-E-Lee Industries. From 2012 through 2018, Rodriguez failed to pay employment taxes withheld from the employees of his trucking company. Also from 2015 to ... More...
   $0 (08-10-2022 - TX)

United States of America v. Sherley L. Beaufils

Augusta, Georgia - criminal law lawyer - Telemedicine Fraud

Sherley L. Beaufils, 44, of Conyers, Ga., was sentenced to 87 months in prison after a U.S. District Court jury convicted her of participating in an illegal kickback conspiracy, and five counts each of Health Care Fraud, False Statements Related to Health Care, and Aggravated Identity Theft, said David H. Estes, U.S. Attorney for... More...
   $0 (08-10-2022 - GA)

United States of America v. Thomas Sieren

Des Moines, Iowa criminal law lawyer represented defendant charged with tax and bank fraud.

Thomas Sieren, age 59, is charged in a 24-count indictment returned on July 19, 2022. According to court documents, Sieren was the Vice President of TCS Fabricating, Inc., a local fabrication company. TCS Fabricating, Inc. was required by law to withhold taxes from employee wages and to pay the wit... More...
   $0 (08-08-2022 - IA)

United States of America v. Fadel Alshalabi, et al.

Nashville, Tennessee criminal law lawyer represented defendant charged with Medicare and Medicaid fraud conspiracy.

Fadel Alshalabi, 54, of Waxhaw, North Carolina, was originally charged in July 2021, with conspiracy and violation of the Anti-Kickback Statute for his role in orchestrating a fraudulent Medicare and Medicaid billing scheme related to genetic testing. Alshalabi is the owne... More...
   $0 (08-05-2022 - TN)

United States of America v. Ariel Madero Paez

Ft. Pierce, Florida - criminal law lawyer - health care fraud

Ariel Madero Paez, 56, pleaded guilty today in federal court in Ft. Pierce to fraudulently billing Medicare over $2 million for durable medical that was never provided to beneficiaries.

According to court records, from November 2021 through May 2022, Madero owned Always Medical Supply (“Always”), located in Stuar... More...
   $0 (08-04-2022 - FL)

WSB REHABILITATION SERVICES. INC. vs. CENTRAL ACCOUNTING SYSTEMS, INC. and C. MICAH RAND, INC., d.b.a BROOKWOOD RETIREMENT COMMUNITY, RAND LOVELAND LLC, d.b.a. LOVELAND HEALTHCARE NURSING AND REAHAB CENTER EVAN GRAY, LLC, d.b.a. FLORENCE PARK NURSING & REHAB CENTER MICAH CLOVERNOOK, LLC, d.b.a. CLOVERNOOK HEALTH CARE PAVILION and CRYSTALWOOD, INC., d.b.a. THE ALOIS ALZHEIMER CENTER

Cincinnati, Ohio - Breach of Contract lawyer represented defendant with a Breach of Contract suit.



In 2011, the nursing facilities entered into separate, but materially
similar, agreements entitled “Agreement for Physical, Occupational, and Speech
Therapy Services” (“agreeme... More...
   $0 (08-04-2022 - OH)

JARED B. CHAMBERLAIN, Special Administrator of the Estate of Isaac Harrell nvs. OHIO DEPARTMENT OF JOB AND FAMILY SERVICES

Cincinnati, Ohio - Medicaid lawyer represented Plaintiff-Appellant with challenging the denial for retroactive Medicaid benefits.



In 2017, Harrell was a resident of Indianspring, a nursing facility in
Cincinnati, Ohio. With his health in decline, Harrell appointed Indianspring as his <... More...
   $0 (08-03-2022 - OH)

United States of America v. Glenn Pair

Charlotte, North Carolina criminal law lawyer represented defendant charged with medicare fraud.

Glenn Pair, 36, of Stonecrest, Georgia was accused of participating in a scheme that defrauded the Medicaid programs in North Carolina, South Carolina and Georgia of more than $5 million, participating in a scheme that defrauded the Medicaid programs in North Carolina, South Carolina and Geor... More...
   $0 (07-27-2022 - NC)

United States of America, et al. v. D.S. Medical, LLC, et al.

Cape Girardeau, Missouri qui tam lawyers represented Plaintiffs, who sued Defendant on a False Claims Act violation theory.

There are several ways to prove that a claim is “false or fraudulent” under the
False Claims Act. 31 U.S.C. § 3729(a)(1). One of them is to show that it “includes
items or services resulting from a violation” of the anti-kickback statute. 42 U.S.C.More...
   $0 (07-26-2022 - MO)

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