Medicare Law
 
United States of America v. Simon Orobor

Atlanta, Georgia criminal defense lawyer represented the Defendant charged with paying illegal kickback on the sale of medical equipment.

A Texas man and owner of two durable medical equipment companies has pleaded guilty to conspiracy for his role in a scheme to pay illegal kickbacks, resulting in more than $20 million submitted in claims to, and $11 million in payment from, Medicare.

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United States of America v. Henry Geoffrey Watson

San Francisco, California criminal defense lawyer represented the Defendant charged with accepting kickbacks for patient referrals to home health agencies, health care fraud, and false statements relating to a health care matter.

Henry Geoffrey Watson, 67, engaged in three health care kickback schemes from 2013 to 2019, using his position as a licensed medical doctor. The first scheme inv

More...   $0 (11-01-2023 - CA)

K.R.J. v. Social Security Administration

Phoenix, Arizona social security disability lawyer represented the Plaintiff seeking review of the dnial of her application for Social Security: DIWC/DIWW benefits by HHS.

"The Social Security DIWC (Disabled Insured Worker's Claim) and DIWW (Disabled Insured Widow's/Widower's Claim) benefit laws provide monthly benefits to certain disabled workers and their dependents.

To be eli

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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 coverag

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United States of America v. Alex Glotser

New Orleans, Louisiana criminal defense lawyer represented the Defendant charged with health care fraud.

Dr. Alex Glotser, age 36, was accused ordering millions in unneeded medical equipment for Medicare beneficiaries such as wheelchairs, catheters and feeding tubes.

Dr. charged $30 for each phony order with the result he received $270,570 in illicit payments.

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United States of America v. Eric Karlewicz, a/k/a “Anthony Mazza”

Neark, New Jersey criminal defense lawyer represented the Defendant charged with conspiracy to commit health care fraud and to pay and receive illegal kickbacks.

From June 2017 through May 2019, Eric Karlewicz, aka “Anthony Mazza,” 44, of Chestnut Ridge, New York, participated in a scheme with durable medical equipment (DME) companies, telemedicine companies, and doctors to

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United States of America v. Dr. Javad Aghaloo and Theresa Flores

San Diego, California criminal defense lawyers represented the Defendants charged with healthcare fraud.

Dr. Javad Aghaloo, an Imperial County dentist, entered a guilty plea to conspiring to commit health care fraud by billing Medicare for procedures that were not covered, not performed, or otherwise not necessary. As part of his plea, Aghaloo agreed to forfeit more than $1 million in pr

More...   $0 (10-06-2023 - CA)

Wade Volz v. General Mortors, LLC

Philadelphia, Pennsylvania employment law lawyer represented the Plaintiff who sued the Defendant on an E.R.I.S.A. breach of fiduciary duty theory.

The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ERI

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Eric Sumpter v. The Hartford Life and Accident Company

Philadelphia, Pennsylvania employment Law lawyer represented the Plaintiff who sued the Defendant on a wrongful failure to pay E.R.I.S.A. benefits.

"The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ER

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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. Genomic Health, Inc.

Brooklyn, New York civil litigation lawyers represented Defendant accused of violating the False Claims ACtby engaging in a nationwide scheme to improperly bill Medicare for certain laboratory tests used to diagnose and treat cancer patients. GHI is a wholly owned subsidiary of Exact Sciences Corporation, which acquired GHI in November 2019.

GHI provides genomic-based clinical diagnostic

More...   $32000000 (10-02-2023 - NY)

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 w

More...   $37000000 (09-29-2023 - TN)

United States of America v. Jesus Virlar-Cadena

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud for submitting over $150 million in false and fraudulent claims to Medicare for hospice and other health care services.

From 2009 to 2018, Jesus Virlar-Cadena, 52, served as the medical director of the Merida Group, a large health care company that operated dozens of locations throughout Texas.

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Donna Schwartz v. Blue Cross and Blue Shield of Florida, Inc.

Miami, Florida employment law lawyer represented the Plaintiff who sued the Defendant on an E.R.I.S.A. law violation theory.

"The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ERISA provides for:
<

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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 refe

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V.A.G. v. Social Security Administration

Greenbelt, Maryland social security disability lawyer represented the Plaintiff seeking review of the denila of her application for Social Security: DIWC/DIWW benefits by HHS.

Disability program for adults who have worked enough to have “insured status” under the Social Security System. For disability, a worker must have worked above a minimum amount 5 out of the last 10 years

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United States of America v. Arun Arora

Brooklyn, New York civil litigation lawyers represented the Defendant accused of violating the False Claims Act by billing Medicare for critical care services to residents of nursing homes when, in fact, he provided only routine care.

Dr. Arun Arora, a Queens-based physician, provided care to residents of nursing homes. That care was, for the most part, routine care, such as regular medic

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United States of America v. Carlos Alberto Padron

Miami, Florida criminal defense lawyer represented the Defendant charged with conspiracy to commit money laundering in violation of 18 U.S.C. 4999, which provides is part:




LII U.S. Code Title 18 PART I CHAPTER 95 § 1956

Quick search by citation:
Title
Section
18 U.S. Code § 1956 - Laundering of monetary instruments

U.S. Cod

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United States of America v. Travis Gober

Fresno, California criminal defense lawyer represented the Defendant charged with health care fraud and aggravated identity theft.

Travis Gober, 44, of Hanford owned the VIP Sleep Center, which operated sleep clinics in Fresno and Tulare Counties. Sleep clinics perform diagnostic sleep studies on patients to identify disorders like sleep apnea and narcolepsy.

From October 2019 t

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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 prescr

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Elevance Health, Inc. v. Vinod Mohan

Indianapolis, Indiana commercial litigation lawyers represented the Plaintiff who sued the Defendant on a misappropriation of trade secrets theory.


n August 22, 2023, Plaintiff Elevance Health, Inc. ("Elevance") filed this diversity action against its former employee, Defendant Vinod Mohan ("Ms. Mohan"), alleging that Ms. Mohan misappropriated trade secrets. Dkt. 1. Elevance also fil

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United States of America v. Oliver Street Dermatology Management, L.L.C.

Dallas, Texas civil litigation lawyers represented the Defendant accused of violating the Physician Self-Referral Law (the Stark Law) and the Anti-Kickback Statute (AKS),

Oliver Street Dermatology Management LLC agreed to pay the government $8,892,079.72 – including $5,928,053.15 in restitution—within 10 days of the settlement. The settlement credits Oliver Street for its s

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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. Evoke Neuroscience, Inc. and David Hagedorn, Ph.D.

Philadelphia, Pennsylvania qui tam litigation lawyers represented Defendants accused of violating the False Claims Act.

Evoke Neuroscience, Inc., of New York will pay $225,000, and its co-founder/CEO David Hagedorn, Ph.D., of Jacksonville, North Carolina, will pay $220,000, to resolve alleged False Claims Act violations for causing the submission of false claims to Medicare by promoting f

More...   $0 (09-01-2023 - PA)

Stephanie M.C. v. Social Security Administration

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

Social Security Disability Insurance (SSDI) benefits are paid to people who are unable to work because of a medical condition that is expected to last at least 12 months or result in death. To qualify for SSDI bene

More...   $0 (07-25-2023 - AL)

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