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Pennsylvania Medicare Law
 
United States of America v. Q2Administrators, LLC

Relator Thomas M. Zizic, M.D. (“Zizic”) filed this qui tam1

______________

1 The term “qui tam” is an abbreviation of the phrase “‘qui tam pro domino rege quam pro se ipso in hac parte sequitur,’ which means ‘who pursues this action on our Lord the King’s behalf as well as his own.’” United States ex rel. Atkinson v. Pa. Shipbuilding Co., 473 F.3d 506, 509 n.1 (... More...
   $0 (08-26-2013 - PA)

PG Publishing Company v. Carol Aichele

The instant case calls upon us to decide whether a state statute restricting access to a polling place infringes on the media‟s First Amendment right to gather news. Appellant PG Publishing Company (“Appellant” or “PG”) seeks review of the District Court‟s decision to dismiss its suit against election officials for the Commonwealth of Pennsylvania. Specifically, Appellant alleges viola... More...   $0 (01-16-2013 - PA)

John D. Handron, Ph.D. v. Secretary Department of Health and Human Services

Dr. John Handron, a psychologist, appeals from the denial of his request for counsel fees following his challenge to the government’s claim that he had overbilled Medicare and owed the government more than $600,000 in overpayments. At an ALJ hearing to contest the government’s claim, Dr. Handron presented extensive evidence, but the government neither appeared nor presented argument or advocac... More...   $0 (04-12-2012 - PA)

Christopher Torretti v. Main Line Hospital

This is our first opportunity to confront the Emergency Medical Treatment and Active Labor Act (“EMTALA” or the “Act”). 42 U.S.C. § 1395dd, et seq. Among other things, the Act forbids hospitals from refusing to treat individuals with emergency conditions, a practice often referred to as “patient dumping.”

Appellants Christopher and Honey Torretti’s son, Christopher, was bor... More...
   $0 (09-02-2009 - PA)

Sarah Grammer v. John J. Kane Regional Centers - Glen Hazel

We are asked in this appeal to determine whether an action will lie under 42 U.S.C. § 1983 to challenge the treatment Appellant’s decedent received (or did not receive) at the Appellee nursing home – treatment Appellant argues violated the Federal Nursing Home Reform Amendments (FNRA), 42 U.S.C. § 1396r et seq. We answer that question in the affirmative and will reverse and remand the cause ... More...   $0 (07-03-2009 - PA)

Rita Tristani v. Estelle Richman, in Her Official Capacity as Secretary of the Commonwealth of Pennsylvania Department of Public Welfare

Estelle B. Richman, Secretary of the Commonwealth of Pennsylvania, Department of Public Welfare (the Department), appeals the order of the District Court for the Middle District of Pennsylvania, enjoining the Department from denying Medicaid benefits to Robert A. James. The central issue to the appeal is whether an annuity, purchased by James’s wife Josephine, may be treated by the Department as... More...   $0 (11-13-2008 - PA)

State of Maryland, et al. v. GlaxoSmithKline

Attorney General Tom Corbett today announced that Pennsylvania received more than $2 million as part of a $124 million multi-state settlement with a Tennessee-based generic drug manufacturer accused of reporting inaccurate drug prices to the federal government as well as to state Medicaid programs.

Corbett said that the multi-state agreement was reached between 49 states and the District... More...   $124000000 (03-29-2006 - PA)

Joan D. Clatthorn and Joseph Lasensky v. Independence Blue Cross

UnknownJoan Glatthorn and Joseph Lasensky appeal from the order of the United States District Court for the Eastern District of Pennsylvania granting judgment on all counts in favor of defendant, Independence Blue Cross, at the conclusion of a bench trial. For the reasons that follow, we will affirm.

I.

As we write only for the parties, we need not reiterate the facts relevant to t... More...   $0 (04-15-2002 - PA)

United States of America, ex rel. Robert J. Merena, et al. v. Smithkline Beecham Clinical Laboratories, Inc.

Three False Claims Act (qui tam) action claims. Robert J. Merena filed the first of the claims against SmithKline on November 12, 1993 in the Eastern District of Pennsylvania. All three complaints alleged that SmithKline, which operates a nationwide system of clinical laboratories, adopted myriad complicated procedures for the purpose of defrauding state and federal healthcare programs, in... More...   $325000000 (09-16-1996 - PA)

 
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