Medicare Law
 
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)

United States of America ex rel. Bryan Brazelle v. Diversicare Healthcare Services, Inc. et al

Montgomery, Alabama civil litigation lawyer represented Defendant accused of violating the False Claims Act (FCA) by submitting claims to Medicare for occupational therapy services that they did not provide.

The FCA is a federal law that imposes civil liability on any persons or entities who submit false claims for payment to the federal government or its contractors. It imposes damages t... More...
   $1300000 (07-12-2023 - AL)

Melvin Hitchens v. Social Security Administration

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

Social Security Disability (SSD) is a federal program that provides monthly benefits to people who are unable to work because of a disability. To qualify for SSD benefits, you must meet the following criteria:

You must... More...
   $0 (07-12-2023 - AL)

United States of America v. Tamara Yvonne Motley, a.k.a. “Tamara Ogembe,”

Los Angeles, California criminal defense lawyer represented Defendant charged with fraudulently billing for medically unnecessary durable medical equipment – mostly power wheelchairs (PWC) – and PWC repairs, many of which were never performed.

Tamara Yvonne Motley, 54, a.k.a. “Tamara Ogembe,” of Redondo Beach, was found guilty by a federal jury of 20 counts of health care fraud, ... More...
   $0 (06-28-2023 - CA)

United States of America v. Anthony Duane Bell, Sr. and nthony Duane Bell, Jr.

San Diego, California criminal defense lawyer represented Defendant charged with fraudulently receiving more than $21 million in Medicare payments.

Anthony Duane Bell, Sr. and nthony Duane Bell, Jr. created companies known as Universal Medical Solutions 1 and Universal Medical Solutions 2, with locations in Santee and San Diego. The companies supplied durable medical equipment like knee,... More...
   $0 (06-28-2023 - CA)

United States of America v. Rachel Peay-Goodman

Boise, Idaho criminal defense lawyer represented Defendant charged with unlawfully prescribing controlled substances and submitting false claims to Medicare while working for AmeriHealth in Pocatello.

Rachel Peay-Goodman, a nurse practitioner in eastern Idaho, wrote prescriptions for dangerous combinations of drugs to at least one patient, including simultaneous prescriptions for oxycodo... More...
   $0 (06-13-2023 - ID)

Brittany L. Mogan v. Social Security Administration

Rochester, New York social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefits by HHS.

"DIWC and DIWW are types of Social Security Disability benefits that are available to certain disabled workers and their widows or widowers.

DIWC stands for Disabled Individual with Children. To qualify for DIW... More...
   $0 (06-12-2023 - NY)

United States of America v. Billy Joe Taylor

Fort Smith, Arkansas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud and money laundering.

Billy Joe Taylor, age 44, pleaded guilty to conspiracy to commit health care fraud and money laundering on October 27, 2022. According to court documents, Taylor and his co-conspirators submitted more than $134 million in false and fraudulent claims... More...
   $0 (06-09-2023 - AR)

United States of America v. Steven King

Detroit, Michigan criminal defense lawyer represented Defendant charged with health care fraud and wire fraud.

Steven King, 45, of Miramar, was the chief compliance officer of a pharmacy holding company that fraudulently billed Medicare over $50 million for dispensing lidocaine and diabetic testing supplies that Medicare beneficiaries did not need or want. King and his co-conspirators ... More...
   $0 (06-08-2023 - FL)

Melinda Griffin v. Social Security Disability

Dayton, Ohio social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW.

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 a minimum amount 5 out of t... More...
   $0 (06-06-2023 - OH)

Michael John Shoops v. Social Security Administration

Flint, Michigan social security disability lawyer represented Plaintiff seeking review of the denial of his 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 a minimum... More...
   $0 (06-06-2023 - MI)

Dana M. Brown v. Social Security Administration

Grand Rapids, Michigan social security disability lawyer represented Plaintiff who 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 a ... More...
   $0 (06-05-2023 - MI)

United States of America v. Akintunde Oyewale

Houston, Texas criminal defense lawyer represented Defendant charged with conspiracy to commit health care fraud.

Akintunde Oyewale, Richmond, pleaded guilty Feb. 1, 2022.

U.S. District Judge David Hittner ordered he serve 57 months in federal prison to be immediately followed by three years of supervised release. At the hearing, the defense requested a reduced sentence due to ... More...
   $0 (05-30-2023 - TX)

United States of America ex rel. et al v. Georgia Pain Management, P.C. et al.

Atlanta, Georgia civil litigation lawyer represented Defendants accused of violating the False Claims Act.

James Ellner, M.D., and his Woodstock, Georgia pain management practice, Georgia Pain Management, P.C., and ambulatory surgical center, Samson Pain Center, P.C, agreed to pay $625,000 to resolve allegations that they violated the False Claims Act (FCA) by submitting improper claims t... More...
   $0 (05-30-2023 - GA)

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