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Medicare Law
 
Lenworth Bailey v. Rocky Mountain Holdings, LLC, Air Methods Corporation United States District Court for the Southern District of Florida - Miami, Florida

The Airline Deregulation Act (“ADA”) provides that “a State, political
subdivision of a State, or political authority of at least 2 States may not enact or
enforce a law, regulation, or other provision having the force and effect of law
related to a price, route, or service of an air carrier.” 49 U.S.C. § 41713(b)(1).
This language expresses a broad preemptive intent that encompass... More...
   $0 (05-09-2018 - FL)

United States of America v. Charles Cole Memorial Hospital Middle District of Pennsylvania Federal Courthouse - Harrisburg, Pennsylvania

Harrisburg, PA - Charles Cole Memorial Hospital Agrees To Settle Over Billing Allegations

Charles Cole Memorial Hospital, a Pennsylvania nonprofit corporation in Coudersport, Pennsylvania, agreed to pay the United States $373,547.54 to settle allegations from two self-disclosures by Charles Cole to the Office of Inspector General for the United States Department of Health and Human Servic... More...
   $373547 (05-08-2018 - PA)

UNITED STATES OF AMERICA v. DAVID JAMES GARRISON UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

There is now an epic crisis of deadly opioid abuse and overuse. In 2016, roughly 11.5 million people in the United States misused prescription opioids. U.S. Dep’t of Health and Human Services, About the U.S. Opioid Epidemic (2018), (last visited March 8, 2018). That same year, 116 people on average died every day from opioid-related drug overdoses. Id. And in 2017, the Acting Secretary of Hea... More...   $0 (05-06-2018 - CA)

United States of America v. Mercy O. Ainabe Southern District of Texas Courthouse - Houston, Texas

Houston, TX - Southern Texas Patient Recruiter Convicted in $3.6 Million Home Health Care Fraud Scheme

A federal jury in Houston found Mercy O. Ainabe, a patient recruiter for Texas Tender Care, guilty for her role in a $3.6 million Medicare fraud scheme involving fraudulent claims for home health services.

After a three-day trial, Mercy O. Ainabe, 52, of Houston, Texas, was con... More...
   $0 (05-02-2018 - TX)

United States of America v. Sajid Javed Southern District of New York - New York, New York

New York, NY - New York City Pharmacy Owner Pleads Guilty To Committing $8.5 Million Fraud On Medicare And Medicaid

Sajid Javed, an owner and operator of nine different pharmacies in the New York City area, pled guilty on April 19, 2018 to participating in a health care fraud scheme that used his pharmacies to submit more than $8.5 million in fraudulent claims to Medicare and Medicaid. J... More...
   $0 (04-19-2018 - NY)

United States of America v. Aharon Aron Krkasharyan Central District of California Federal Courthouse - Los Angeles, California

Los Angeles, CA - Former Employee of Southern California Ambulance Company Sentenced to Prison for Role in Medicare Fraud Scheme

A former employee of a Southern California ambulance company was sentenced on April 16, 2018 to 36 months in prison for his role in a scheme that resulted in more than $1.1 million in fraudulent claims to Medicare.

Acting Assistant Attorney General John... More...
   $0 (04-17-2018 - CA)

United States of America v. Rotech Healthcare, Inc. Eastern District of Texas Federal Courthouse - Beaumont, Texas

Beaumont, TX - Rotech Agrees To Pay $9.68 Million To Settle False Claims Act Liability Related To Improper Billing For Portable Oxygen

Rotech Healthcare Inc., a Florida-based respiratory equipment supplier, agreed to pay $9.68 million for knowingly submitting false claims for portable oxygen contents to Medicare. As part of the settlement, Rotech admitted that it knowingly billed portab... More...
   $9680000 (04-13-2018 - TX)

Association for Accessible Medicines v. Brian E. Frosh, et al. District of Maryland Federal Courthouse - Baltimore, Maryland

The Association for Accessible Medicines (“AAM”) appeals the district court’s dismissal of its dormant commerce clause challenge to a Maryland statute prohibiting price gouging in the sale of prescription drugs. AAM also appeals the district court’s refusal to enjoin enforcement of the statute on the basis that it is unconstitutionally vague. We hold that the statute violates the dormant commerce ... More...   $0 (04-13-2018 - MD)

PERCY ALLAN AHRENDT v. DIANE MUREE CHAMBERLAIN

Percy Ahrendt and Diane Chamberlain were married in 1999. Diane and her son from a prior marriage moved into Percy’s residence. During their first eight years, Diane worked various part-time jobs and made about $7,885 a year in reported income. At that time, she was studying to obtain her securities licenses, and she paid approximately $250-$350 of the monthly marital expenses. Percy made abou... More...   $0 (04-12-2018 - SD)

United States of America v. John Davis and Brenda Montgomery Middle District of Tennessee - Estes Kefauver Federal Courthouse Nashville, Tennessee

Nashville, TN - Two Tennessee Health Care Executives Charged for Role in $4.6 Million Medicare Kickback Scheme

Two Tennessee health care executives were charged in an indictment unsealed on April 9, 2018 for their alleged participation in a $4.6 million Medicare kickback scheme involving durable medical equipment (DME).

Acting Assistant Attorney General John P. Cronan of the Just... More...
   $0 (04-10-2018 - TN)

Raad Al-Shaikh v. State Department of Health Care Services

When Dr. Raad Al-Shaikh, an orthopedic surgeon, moved his Fremont practice a
couple of miles from its original location, he applied to the Department of Health Care
Services (DHCS), pursuant to Medi-Cal regulations, for approval of his new office as an
“established place of business.” He had been an approved Medi-Cal provider at his prior
location for six years. Much to Dr. Al-Shai... More...
   $0 (04-08-2018 - CA)

United States of America v. Gazelle Craig, D.O. Southern District of Texas Courthouse - Houston, Texas

Houston, TX - Houston Physician and Pain Management Clinic Owner Convicted of Running “Pill Mill” That Provided Unlawful Prescriptions for Millions of Doses of Opioids and Other Controlled Substances

A federal jury found a Houston physician and the owner of a pain management clinic guilty today for their roles in running a “pill mill” that provided tens of thousands of unlawful prescripti... More...
   $0 (03-31-2018 - TX)

United States of America v. Larry B. Howard Middle District of Florida Federal Courthouse - Tampa, Florida

Tampa, FL - Pharmacy Owner and Pharmacist Sentenced to 160 Months in Prison for $4.3 Million Pain and Scar Cream Kickback Scheme Against Military Insurance Program

The owner of an Orlando, Florida-area pharmacy, who was also a licensed pharmacist, was sentenced on March 30, 2018 for his role in a kickback scheme involving pain and scar creams that resulted in the payment of approximately ... More...
   $0 (03-31-2018 - FL)

United States of America v. Georgia Bone & Joint, et al. Northern District of Georgia Federal Courthouse - Atlanta, Georgia

Atlanta, GA - Orthopaedic and anesthesia providers to pay $3.2 million to settle false claim act allegations

Georgia Bone & Joint (GBJ), Southern Bone & Joint a/k/a Summit Orthopaedic Surgery Center (Summit Surgery Center), Southern Crescent Anesthesiology, PC (SCA), Sentry Anesthesia Management, LLC (Sentry), and David LaGuardia (LaGuardia) agreed to pay $3.2 million to settle allegatio... More...
   $3200000 (03-29-2018 - GA)

UNITED STATES OF AMERICA v. JUDITH ANN PAIXAO UNITED STATES OF AMERICA v. KEVIN A. LOMBARD

The following facts were established at trial. In 2007, Defendants founded WMCF, a non-profit foundation dedicated to teaching interested veterans the technical skills required to succeed in the film industry. After encountering fund-raising trouble, Defendants sought funding from a Department of Veteran Affairs (“VA”) program, the Vocational Rehabilitation and Employment Program (“VRE Program”)... More...   $0 (03-29-2018 - CA)

United States of America v. Medical Transport, LLC Eastern District of Virginia - Federal Courthouse - Alexandria, Virginia

Alexandria, VA - Ambulance Company to Pay $9 Million to Settle False Claims Act Allegations

Medical Transport LLC, a Virginia Beach-based provider of ambulance services, agreed to pay $9 million to resolve allegations that it violated the False Claims Act by submitting false claims for ambulance transports, the Justice Department announced today.

“Those who benefit from federal ... More...
   $0 (03-29-2018 - VA)

United States of America v. Sandra Parkman Thompson Eastern District of Louisiana Federal Courthouse - New Orleans, Louisiana

New Orleans, LA - New Orleans Woman Sentenced to Prison for Role in $3.2 Million Health Care Fraud and Kickback Scheme

A New Orleans, Louisiana woman was sentenced to 32 months in prison for her involvement in a $3.2 million Medicare fraud and kickback scheme.

Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Duane A. Ev... More...
   $0 (03-29-2018 - LA)

United States of America v. Genesis Medical Center

Davenport, IA - Iowa Hospital to Pay $1.88 Million to Resolve False Claims Act Allegations Relating to Improper Inpatient Admission Claims

Genesis Medical Center, an acute care hospital in Davenport, has agreed to pay $1.88 million to the United States to resolve allegations it violated the False Claims Act.

The settlement resolves claims that, from January 1, 2013, to December 3... More...
   $0 (03-27-2018 - IA)

United States of America v. Caring Heart Rehabilitation and Nursing Center, et al. District of Maryland Federal Courthouse - Baltimore, Maryland

Baltimore, MD - United States Reaches Settlement With Four Facilities And Two Medical Companies To Resolve Allegations Of Fraudulent Billing In Skilled Nursing Facilities

The United States Attorney’s Office announced that it reached an agreement with four skilled nursing facilities and two consulting companies with which they contracted to resolve allegations of fraudulent billing of Medi... More...
   $0 (03-23-2018 - MD)

Matthew C. McGlynn v. State of California

In this mandamus proceeding, six judges who were elected to the superior court in
mid-term elections in 2012, but who did not take office until January 7, 2013, maintain
they are entitled to benefits under the Judges’ Retirement System II (JRS II)1
as in effect
at the time they were elected, rather than at the time they assumed office. This is a matter
of considerable importanc... More...
   $0 (03-21-2018 - CA)

United States of America v. Vidya Banka Eastern District of Pennsylvania Federal Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - United States Resolves Claims That Philadelphia Cardiologist Billed Medicare For Unnecessary Stent Procedures

Vidya Banka, M.D., a cardiologist and former director of Pennsylvania Hospital’s cardiac catheterization lab, has entered into a settlement agreement with the United States to resolve allegations that he improperly submitted Medicare claims for unnecessary cardi... More...
   $0 (03-20-2018 - NY)

United States of America, ex rel. Dianna Kelly v. Marshfield Medical, Inc. Eastern District of Pennsylvania Federal Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - Intra-Operative Monitoring Company Agrees To Pay $550,000 To Settle False Claims Act Claims

Marshfield Medical, Inc., formerly known as Bromedicon, Inc. (“Bromedicon”), has agreed to pay $550,000 to settle allegations under the False Claims Act that it submitted false claims to Medicare and other federal health care programs for failing to provide a qualified interpreti... More...
   $550000 (03-18-2018 - Pa)

United States of America v. Dr. Abdelrahman Mohamed and Cecilia Manacsa

Greeneville, TN - Physician Owner of HNC and Wife Sentenced for Health Care Fraud Offenses Involving Prescription Opiate Pain Medication

Dr. Abdelrahman Mohamed, 64, and Cecilia Manacsa, 59, both of Morristown, Tennessee, were sentenced by the Honorable J. Ronnie Greer, U.S. District Judge, to serve 36 months and 16 months respectively in federal prison. In addition to his prison sentenc... More...
   $0 (03-16-2018 - TN)

United States of America v. Steve Lopez Southern District of West Virginia Federal Courthouse - Charleston, West Virginia

Charleston, WV - West Virginia Business Owner Sentenced to Prison for Failing to Pay Employment Taxes

A Fayette County, West Virginia, business owner was sentenced to 15 months in prison for failing to pay over employment taxes.

According to documents and information provided to the court, from 2008 through 2012, Steve Lopez, 68, owned and operated Ready Transport Services (RTS)... More...
   $0 (03-15-2018 - WV)

Rebecca Cooper v. Honeywell International, Inc. Western District of Michigan Federal Courthouse - Grand Rapids, Michigan

This is yet another entry in a complicated tangle of cases
dealing with whether retiree benefits in a collective bargaining agreement (“CBA”) should
extend beyond the CBA’s expiration. Rebecca Cooper and some 50 other retirees at Honeywell
International’s Boyne City, Michigan plant say that Honeywell must provide them healthcare
benefits until they reach age 65. Honeywell responds ... More...
   $0 (03-08-2018 - MI)

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