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United States of America v. Mahmoud Rahim, M.D. Eastern District of Michigan Federal Courthouse - Detroit, Michigan

Detroit, MI - Detroit Doctor Sentenced to Six Years in Prison for Role in $10.4 Million Health Care Fraud Scheme

A Detroit, Michigan-area doctor was sentenced to 72 months in prison today for his role in a $10.4 million conspiracy to defraud the Medicare program.

Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Matthew ... More...
   $0 (02-14-2018 - MI)

United States of America v. Thurlee Belfrey, Roylee Belfrey and Lanora Belfrey District of Minnesota Federal Courthouse - Minneapolis, Minnesota

Minneapolis, MN - Health Care Business Owners Sentenced To Prison For Multi-Million Dollar Fraud And Tax Conspiracy

Three defendants were sentenced for their involvement in a years-long, multi-million dollar heath care fraud and tax conspiracy. THURLEE BELFREY, 52, ROYLEE BELFREY, 52, and LANORE BELFREY, 43, each entered guilty pleas on September 14, 2017, and were sentenced yesterday bef... More...
   $0 (02-12-2018 - MN)

United States of America v. Greg Takesian District of Massachusetts Federal Courthouse - Boston, Massachusetts

Boston, MA - Florida CPA Sentenced for Tax Fraud

A Florida man was sentenced February 8, 2018 in federal court in Boston for multiple counts of tax fraud and obstructing the Internal Revenue Service (IRS).

Greg Takesian, 54, of Miami, Fla., was sentenced by U.S. District Court Judge William G. Young to two years in prison and one year of supervised release, and he was ordered to... More...
   $0 (02-10-2018 - MA)

United States of America v. Karla Justice, a/k/a Karla Jessee Western District of Missouri Federal Courthouse - Springfield, Missouri

Springfield, MO - Jasper School District Employee Pleads Guilty to $145,000 Embezzlement Scheme

An employee of the Jasper R-5 School District pleaded guilty in federal court on February 7, 2018 to embezzling more than $145,000 from the district.

Karla Justice, also known as Karla Jessee, 55, of Columbus, Kan., waived her right to a grand jury and pleaded guilty before U.S. Magist... More...
   $0 (02-08-2018 - MO)

United States of America ex rel. White v. Orthopaedic and Neuro Imaging, LLC (ONI) District of Delaware Federal Courthouse - Wilmington, Deleware

Wilmington, DE - United States Obtains $16.2 Million Judgment Against MRI Provider For Submitting False Claims

The U.S. District Court for the District of Delaware entered judgment in the amount of $16,223,091.38 against Orthopaedic and Neuro Imaging LLC (ONI) for submitting false claims for Medicare reimbursement. Under the terms of the judgment, ONI’s owner, Richard Pfarr, is jointly a... More...
   $16223091 (02-02-2018 - DE)

United States of America v. AmeriCare Ambulance Service, Inc. Middle District of Florida Federal Courthouse - Tampa, Florida

Tampa, FL - Tampa’s Largest Ambulance Providers Agree To Pay $5.5 Million To Resolve False Claims Act Allegations Regarding Medically Unnecessary Ambulance Transports

AmeriCare Ambulance Service, Inc. and its sister company, AmeriCare ALS, Inc. (collectively, AmeriCare), have agreed to pay approximately $5.5 million to resolve allegations that they defrauded Medicare by billing for medica... More...
   $5500000 (01-31-2018 - FL)

Philip Marsteller and Robert Swisher v. Lynn Tilton, Patriarch Partners, LLC, MD Helicopters, Inc., Norbert Vergez Northern District of Alabama Federal Courthouse - Birmingham, Alabama

Relators Philip Marsteller and Robert Swisher brought this action against
their former employer, MD Helicopters (“MD”), and codefendants Patriarch
Partners (“Patriarch”), Lynn Tilton, and Colonel Norbert Vergez, under the qui tam
provision of the False Claims Act (“FCA” or “Act”), 31 U.S.C. §§ 3729–30.1 The
allegations of the complaint concern a series of contracts between the Unit... More...
   $0 (01-31-2018 - AL)

United State of America v. Drs. Aytac Apaydin and Stephen Worsham Northern District of California Federal Courthouse - San Francisco

San Francisco, CA - Two California Urologists Agree To Pay More Than $1 Million To Settle False Claims Act Allegations Related To Radiation Therapy Referrals


Drs. Aytac Apaydin and Stephen Worsham, urologists based in Northern California, will pay $1.085 million to resolve allegations that they submitted and caused the submission of false claims to Medicare for image guided radiation... More...
   $1085000 (01-29-2018 - CA)

United States of America, ex rel. David Choate and Don Pyburn v. Primex Clinical Laboratories, LLC Northern District of Texas Federal Courthouse - Dallas, Texas

Dallas, TX - Laboratory and Owner of Lab Management Services Company to Pay $3.77 Million to Resolve Kickback and Medical Necessity Claims

Primex Clinical Laboratories, LLC has agreed to pay $3,500,000 to resolve allegations that it violated the False Claims Act by paying kickbacks in exchange for laboratory referrals for patient pharmacogenetic testing. In a related settlement, Mitch Ed... More...
   $3770000 (01-25-2018 - TX)

United States of America v. Kenneth E. Fairley Southern District of Mississippi - Federal Courthouse - Jackson, Mississippi

Appellant-Defendant Kenneth Fairley appeals his jury conviction for theft of government property in violation of 18 U.S.C. § 641 (counts two and three) and conspiracy to commit theft of government property in violation of 18 U.S.C. § 371 (count one). Fairley argues that: (1) the indictment, jury instruction, and verdict form all misstated the elements of § 641; (2) the district court erroneously a... More...   $0 (01-25-2018 - MS)

United States of America v. Douglas M. Marinos Eastern District of Pennsylvania Federal Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - Allentown Attorney Pleads Guilty to Tax Offense

Douglas M. Marinos, 56, a licensed attorney, pled guilty on January 18, 2018 to one-count of willfully failing to collect, truthfully account for, and pay over to the United States taxes owed by his Allentown law firm, announced United States Attorney Louis D. Lappen. The Criminal Information to which Marinos pled guilty a... More...
   $0 (01-23-2018 - PA)

United States of America, ex rel. Steve Greenfield v. Medco Health Solutions, Inc., et al. District of New Jersey Federal Courthouses

Accredo Health Group, Inc., a specialty pharmacy that provides home care for patients with hemophilia (a rare condition that prevents blood from clotting properly), made donations to charities, two of which allegedly recommended Accredo as an approved provider for hemophilia patients. This raises whether the donations came with something expected in return for the recommendations, which might trig... More...   $0 (01-23-2018 - NJ)

United States of America v. Matilda Lynn Prince

Gainesville, GA - Eye care provider convicted of Medicare and Medicaid fraud

Matilda Lynn Prince has been convicted by a federal jury on January 16, 2018 of twenty-nine counts of health care fraud for filing fraudulent claims with Medicare and the Georgia Medicaid program for optometry and ophthalmology services that were never provided to patients.

“Prince stole hundreds of thou... More...
   $0 (01-22-2018 - GA)

United States of America v. Gerald Daneshvar, M.D. Eastern District of Michigan Federal Courthouse - Detroit, Michigan

Detroit, MI - Michigan Doctor Sentenced to Prison for $1.7 Million Health Care Fraud Scheme

A Detroit, Michigan-area doctor was sentenced to 24 months in prison on January 18, 2018 for his role in a $1.7 million health care fraud scheme that involved billing Medicare for physician home visits that were medically unnecessary and/or were billed under unwarranted treatment codes that resulte... More...
   $0 (01-19-2018 - MI)

United States of America v. Diana J. Gumila Northern District of Illinois Courthouse - Chicago, Illinois

Diana Gumila ran a home-healthcare company that defrauded the federal government of several million dollars. She was convicted of multiple counts of healthcare fraud and making false statements in connection
∗ Circuit Judge Posner retired on September 2, 2017, and did not partici-pate in the decision of this case, which is being resolved by a quorum of the panel under 28 U.S.C. § 46(d).<... More...
   $0 (01-17-2018 - IL)

Don Karms and Robert Parker v. Kathleen Shanahan, Sandra McKeon Crow and New Jersey Transit District of New Jersey Federal Courthouses

Don Karns and Robert Parker filed civil rights actions against the New Jersey Transit Corporation (“NJ Transit”) and NJ Transit Officers Kathleen Shanahan and Sandra McKeon Crowe in their official and individual capacities, alleging violations of the First, Fourth, and Fourteenth Amendments. Officers Shanahan and Crowe arrested Karns and Parker for defiant trespass and obstruction of justice after... More...   $0 (01-14-2018 - NJ)

United States of America v. Gibson Buckley Condie District of Wyoming Federal Courthouse - Cheyenne, Wyoming

Cheyenne, WY - Powell, Wyoming Psychologist Sentenced to Three Years in Prison for Health Care Fraud

Gibson Buckley Condie, 57, of Powell, Wyoming, was sentenced on January 8, 2018, to serve three years in prison for felony health care fraud involving mental health services falsely billed to Wyoming Medicaid, announced United States Attorney Mark A. Klaassen. Condie was also ordered to pa... More...
   $0 (01-10-2018 - WY)

United States of America v. Kim Ricard Eastern District of Louisiana Federal Courthouse - New Orleans, Louisiana

New Orleans, LA - New Orleans Area Woman Sentenced to More Than Four Years in Prison for Role in Approximately $2 Million Home Health Kickback and Identity Theft Scheme

A New Orleans woman was sentenced today to 51 months in prison for her involvement in a $2 million home health kickback scheme carried out through a New Orleans area home health agency.

Kim Ricard, 51, of Gonzales... More...
   $1958000 (01-05-2018 - LA)

United States of America v. EmCare, Inc. a subdivision of Envision Healthcare Corporation Western District of North Carolina Courthouse - Charlotte, North Carolina

Charlotte, NC - EmCare, Inc. to Pay $29.8 Million To Resolve False Claims Act Allegations

The Department of Justice on December 19, 2017 announced a settlement with Dallas based EmCare, Inc. a subdivision of Envision Healthcare Corporation that provides physicians to hospitals to staff their Emergency Departments (EDs). EmCare agreed to pay $29.8 million to resolve claims that, from 2008... More...
   $29800000 (12-28-2017 - NC)

United States of America v. United Theapeutics Corporation District of Massachusetts Federal Courthouse - Boston, Massachusetts

Boston, MA - Drug Maker United Therapeutics Agrees to Pay $210 Million to Resolve False Claims Act Liability for Paying Kickbacks

Pharmaceutical company United Therapeutics Corporation (UT), based in Silver Spring, Maryland, has agreed to pay $210 million to resolve claims that it used a foundation as a conduit to pay the copays of Medicare patients taking UT’s pulmonary arterial hyperten... More...
   $210000000 (12-26-2017 - MA)

United States of America, et rel. Garbe v. Kmart Corporation Southern District of Illinois Federal Courthouse - Benton, Illinois

Kmart Corporation to Pay U.S. $32.3 Million to Resolve False Claims Act Allegations for Overbilling Federal Health Programs for Generic Prescription Drugs

Kmart Corporation, a wholly owned subsidiary of Sears Holdings Corporation (SHC), has agreed to pay $32.3 million to the United States to settle allegations that in-store pharmacies in Kmart stores failed to report discounted prescripti... More...
   $32300000 (12-26-2017 - IL)

United States ex rel. Mason v. HMA, et al, Federal Courthouse - District of Columbia

Dallas, TX - Two Physician Groups Pay Over $33 Million to Resolve Claims Involving HMA Hospitals

The Justice Department on December 19, 2017 announced settlements with two physician groups, EmCare Inc. (EmCare) and Physician’s Alliance Ltd (PAL), for allegedly receiving illegal remuneration in exchange for patient referrals to hospitals owned by the now-defunct Health Management Associate... More...
   $33000000 (12-20-2017 - OK)

United States of America v. Bertha Blanco Southern District of Florida Courthouse - Miami, Florida

Miami, FL - Former Florida State Health Care Administration Official Sentenced to More Than Four Years in Prison for Accepting Bribes

A former employee of Florida’s Agency for Health Care Administration (AHCA) was sentenced today to 57 months in prison for accepting bribes in exchange for providing confidential information about health care facilities that received Medicare and Medicaid f... More...
   $0 (12-15-2017 - FL)

United States ex rel. Darla Reid v. Med-Fast Pharmacy, Inc. Western District of Pennsylvania Courthouse - Pittsburgh, Pennsylvania

Pittsburgh, PA - Iserve Technologies, Inc. Pled Guilty in Connection with Guilty Pleas of Former Exec and Manager of Med-Fast Pharmacy Inc.

Individuals and entities associated with Med-Fast Pharmacy, Inc. (“Med-Fast”) have resolved criminal and civil charges associated with Med-Fast’s improper submission of claims to the Medicare and Medicaid programs.

Iserve Technologies, Inc., ... More...
   $0 (12-13-2017 - PA)

United States of America v. Yunesky Fornaris Southern District of Florida Courthouse - Miami, Florida

Miami, FL - Owner of Miami Home Health Agency Sentenced to More Than Nine Years in Prison for Role in $15 Million Medicare Fraud Conspiracy

The owner and operator of a defunct Miami, Florida home health agency was sentenced to 115 months in prison on December 11, 2017 for his role in a $15 million conspiracy to defraud the Medicare program.

Yunesky Fornaris, 38, of Miami, was se... More...
   $0 (12-12-2017 - FL)

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