Medicare Law
 
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 self-disclo... More...
   $0 (09-13-2023 - TX)

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)

United States of America v. Rajendra Bothra, M.D., Pain Center USA, P.L.L.C. and Interventional Pain Center, P.L.L.C.

Detroit, Michigan civil litigation lawyer represented Defendant with violating the Qui Tam False Claims Act by billing Medicare and Medicaid for for unnecessary treatments, drug tests and braces.

A Michigan interventional pain management specialist, Rajendra Bothra, M.D., and two medical entities that he owned and operated, The Pain Center USA, PLLC, and Interventional Pain Center, PLLC,... More...
   $0 (08-30-2023 - MI)

C.S. v. Socials Security Administration

St. George, Utah social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW 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 (as measured in quarter... More...
   $0 (08-29-2023 - UT)

United States of America v. Lincare Holdings, Inc.

Spokane, Washington civil litigation lawyers represented accused of fraudulently overbilling Medicare and Medicare Advantage Plans for oxygen equipment.

Lincare Holdings, Inc. a Florida based, wholly-owned subsidiary of German multinational chemical corporation Linde, PLC, provides oxygen equipment to patients with respiratory ailments such as Chronic Obstructive Pulmonary Disease (COPD)... More...
   $0 (08-28-2023 - WA)

United States of America v. Dr. Samson K. Onusa

Clarksville, Tennessee criminal defense lawyer represented Defendant charged with health care fraud.

Dr. Samson K. Orusa, age 61, was accused of performing hundreds of medically unnecessary services including office visits and steroid injections.

The defendant, through his medical clinic in Clarksville, billed federal health insurance programs for hundreds of medically unnecessar... More...
   $0 (08-25-2023 - TN)

United States of America v. Evoke Neuroscience, Inc. and David Hagedorn

Gulfport, Mississippi civil litigation lawyers represented Defendant accused of violating the False Claims Act.

Dr. Hagedorn, a psychologist, co-founded Evoke as a startup in approximately 2009. Evoke sold its “eVox” device primarily to general practitioner physicians. The device involves a 20-60 minute in-office application of a helmet with electrodes that purports to test certain br... More...
   $0 (08-22-2023 - MS)

United States of America v. Air Methods Corporation

Lexington, Kentucky criminal defense lawyer represented Defendant charged with failing to return known overpayments received from Medicare, Kentucky Medicaid, Tricare, and the Department of Veterans Affairs in violation of the False Claims Act.

The United States alleged that Air Methods violated the False Claims Act, by improperly retaining overpayments for more than 100 flights that it ... More...
   $1000000 (08-15-2023 - KY)

SLR v. Social Security Administration

Tulsa, Oklahoma social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefit denial by HHS.

DIWC and DIWW are acronyms for Disabled Insured Worker's Claim and Disabled Insured Widow's/Widower's Claim, respectively. They are both types of Social Security disability benefits that are available to people who ha... More...
   $0 (08-14-2023 - OK)

MDM v. Social Security Administration

Tulsa, Oklahoma social security disability lawyers represented Plaintiff who sued Defendant seeking review of the denial of her application for Social Security: SSID Tit. XVI.

"The acronym SSID stands for Supplemental Security Income, which is a different program from Social Security Disability Insurance (SSDI).

SSDI is a program that pays benefits to people who are disabled ... More...
   $0 (08-11-2023 - OK)

M.C.P. v. Social Security Administration

Albany, New York social security disability lawyer represented Plaintiff seeking review of the denial of his application for Social Security: SSID Tit. XVI benefits by HHS.

"SSID stands for Supplemental Security Income. It is a federal program that provides monthly cash benefits to low-income adults and children with disabilities. To be eligible for SSID benefits, you must meet the follow... More...
   $0 (08-11-2023 - NY)

United States of America v. Evoke Neuroscience, Inc. and David Hagedorn, Ph.D.

Philadelphia, Pennsylvania civil litigation lawyers represented Defendants accused of violating the False Claims Act on a Qui Tam theory.

Evoke Neuroscience, Inc., of New York agreed to 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 ... More...
   $0 (08-07-2023 - PA)

United States of America v. Ron Elfenbein, M.D.

Baltimore, Maryland criminal defense lawyers represented Defendant charged with health car fraud.

Ron Elfenbein, M.D., age 49, of Arnold, Maryland, was found guilty on five counts of healthcare fraud for submitting over $15 million in false and fraudulent claims to Medicare and other insurers for patients who received COVID-19 tests at sites operated by the defendant. Elfenbein is the fi... More...
   $0 (08-04-2023 - MD)

United States of America v. Arthur Kilimnik, Alexander Ferman, Mikhail Ferman, Leonard Kilimnik, and Aleksey (Alex) Orlov, Future Pharmacy, Inc. and JJ Pharmacy, Inc.

Philadelphia, Pennsylvania civil litigation lawyers represented Defendants accused of violation the False Claims Act by billing Medicare for prescription medications that were not actually dispensed. During the period January 1, 2012, to December 31, 2016, these medications included but were not limited to Lidocaine, Lidoderm, Advair Diskus, Nexium, Creon, and Abilify. Future Pharmacy and JJ Pharm... More...   $0 (08-01-2023 - PA)

United States of America v. BestCare Laboratory Services, L.L.C.

Houston, Texas qui tam defense lawyer represented Defendant charged with violating the False Claims Act.

BestCare Laboratory Services LLC (BestCare), a now defunct Texas-based company that operated as a clinical laboratory, and its owner and founder, Karim A. Maghareh, have agreed to pay an additional $5.7 million to settle an outstanding False Claims Act judgment against them. The judgme... More...
   $5700000 (08-01-2023 - TX)

Leah Gale Livingstone v. Social Security Administration

West Palm Beach, Florida social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefits by HHS.

DIWC (Disabled Insured Worker’s Claim)

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 ... More...
   $0 (07-28-2023 - FL)

United States of America v. John A. Greager, II and Concer Therapy Associates, S.C.

Chicago, Illinois civil litigation lawyers represented Defendants charged with violating the False Claims Act.

John A. Greager, II and Cancer Therapy Associates, P.C. were accused of violating the False Claims Act by performing multiple mole removal procedures on patients on a single date but submitting or causing the submission of claims to Medicare and the Federal Employees Health Benef... More...
   $0 (07-26-2023 - IL)

United States of America v. Rakesh Kansal, M.D.

Hammond, Indiana civil litigation lawyer represented Defendant charged with violating the False Claims Act.

Rakesh Kansal, M.D., age 70, wrongfully submitted claims to Medicare for patients he referred for cardiovascular stress testing at a testing facility in which he had an ownership interest.

The Stark Law provides that the government will not pay for designated health servic... More...
   $0 (07-26-2023 - IN)

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)

United States of America v. Recovery Services, LLC

Lexington, Kentucky civil litigation lawyer represented Defendant accused of violating the False Claims Act,

a federal law that prohibits causing the submission of false or fraudulent claims to the federal government.

The United States alleged that Recovery Services, LLC, formerly known as Recovery Chestnut, billed Kentucky Medicaid for urine drug screens for patients who did ... More...
   $300000 (07-17-2023 - KY)

United States of America ex rel. Toby Markowitz and Elizabeth Ringold v. NextGen Healthcare, Inc.

Burlington, Vermont civil litigation lawyers represented Defendant accused of violating the False Claims Act by misrepresenting the capabilities of certain versions of its EHR software and providing unlawful remuneration to its users to induce them to recommend NextGen’s software.

“Electronic health records are an essential part of our healthcare system” said Principal Deputy Assis... More...
   $0 (07-14-2023 - VT)

Gordon Newell Lewis v. Social Security Administration

San Antonio, Texas social security disability lawyer represented Plaintiff seeking review of the denial by HHS of his application for Social Security: DIWC/DIWW benefits.

DIWC and DIWW are acronyms that stand for Disabled Insured Worker's Claim and Disabled Insured Widow's/Widower's Claim, respectively. These are types of disability benefits that are available through the Social Security... More...
   $0 (07-14-2023 - TX)

Janice Progin v. UMass Memorial Health Care Inc., et al.

Worcester, Massachusetts civil rights lawyer represented Plaintiff who sued defendant on a job discrimination theory.

Janice Progin filed this putative class action in Massachusetts Superior Court against UMass Memorial Health Care, Inc., UMass Memorial Hospitals, Inc., UMass Memorial Medical Center, Inc., UMass Memorial HealthAlliance-Clinton Hospital, Inc., Marlborough Hospital, and Har... More...
   $0 (07-14-2023 - MA)

Kathleen K. McMillian v. Social Security Administration

Fort Worth, Texas social security disability lawyer represented Plaintiff seeking review of the denial by HHS of her application for Social Security: SSID Title XVI benefits.

Social Security SSID Title XVI benefits, also known as Supplemental Security Income (SSI), is a federal program that provides cash payments to low-income individuals who are blind, disabled, or aged (65 years or olde... More...
   $0 (07-13-2023 - TX)

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