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Pennsylvania Medicare Law
 

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. Joan Cicchiello

Middle District of Pennsylvania Federal Courthouse - Harrisburg, Pennsylvania

Harrisburg, PA - Former Registered Nurse Sentenced To Six Years Imprisonment For Health Care Fraud

Joan Cicchiello, age 67, of Annville and Mount Carmel, Pennsylvania, was sentenced on May 9, 2018, to 72 months imprisonment and three years of supervised release by United States District Court Judge John E. Jones, II on Health Care Fraud related charges.

According to United S... More...
   $0 (05-14-2018 - PA)

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. 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 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-Fasts improper submission of claims to the Medicare and Medicaid programs.

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

UNITED STATES OF AMERICA, EX REL ANTHONY R. SPAY v. CVS CAREMARK CORPORATION; CAREMARK RX

UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT

Part D of the Medicare program is a voluntary prescription drug benefit program that subsidizes the cost of prescription drugs and prescription drug insurance premiums for Medicare enrollees.2 The Part D program operates as a public-private partnership between the Centers for Medicare and Medicaid Services (CMS) and government contractors. CMS contracts with private insurance companies called S... More...   $0 (12-03-2017 - PA)

U.S.A. et al. ex rel. Fox and Gonzales v. Home Care Hospice, Inc., Matthew Kolodesh, Alex Pugman, Svetlana Ganetsky, and Malvina Yakobashvili

Philadelphia County Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - Defunct Philly Hospices Owners/Operators to Pay Millions to Settle Civil False Claims Suit

Matthew Kolodesh, Alex Pugman, Svetlana Ganetsky, and Malvina Yakobashvili have agreed to pay millions of dollars to settle False Claims Act allegations that they and their now-defunct company, Home Care Hospice, Inc. (HCH), falsely claimed and received taxpayer dollars for hospi... More...
   $8000000 (07-06-2017 - PA)

Jane Doe v. Mercy Catholic Medical Center

Medical residencies are a vital component of American medical education. McKeesport Hosp. v. ACGME, 24 F.3d 519, 525 (3d Cir. 1994). They provide new doctors a supervised transition between the pure academics of medical school and the realities of practice. Generally they do so successfully: Our nations residency programs reliably produce some of the finest physicians and medical researchers in ... More...   $0 (03-13-2017 - PA)

Jeanmarie Briscela v. University of Pennsylvania Health System

Philadelphia, PA - University Of Pennsylvania Health System Agrees To Settle Voluntary Disclosure Of Improper Medicare Billing For Unnecessary Stent Procedures

The United States announced that it has settled allegations under the False Claims Act with the University of Pennsylvania Health System (UPHS) for improperly billing Medicare for stent procedures two interventional cardiologist... More...
   $0 (01-24-2017 - PA)

United States of America v. Bassem Kuran

Philadelphia, PA - Ambulance Company Owner Sentenced To 10 Months In Prison

Bassem Kuran, 23, of Philadelphia, PA, was sentenced to ten months in prison for making false statements to Medicare through VIP Ambulance, Inc., an ambulance company that Kuran owned and which he served as President. The Honorable Gerald J. Pappert, United States District Judge, ordered that upon Kurans release ... More...
   $0 (10-04-2016 - PA)

United States of America v. Zahar Alex Tkach

Philadelphia, PA - Ambulance Company Owner Sentenced In Medicare Fraud

Zahar Alex Tkach of Bensalem, PA, was sentenced to 60 months incarceration, 3 years supervised release and $1,250,930 in restitution in connection with a scheme to defraud Medicare by charging for unnecessary ambulance services, obstructing two federal audits and laundering criminal proceeds. The scheme ran from ap... More...
   $1250930 (09-12-2016 - PA)

United States of America v. Dr. Yasin Khan, Dr. Elizabeth Khan, Dr. Dong Ko, Westfield Hospital

Philadelphia, PA - Doctors and Medical Facilities in Lehigh Valley Pay $690,441 to Resolve Healthcare Fraud Allegations

Dr. Yasin Khan, Dr. Elizabeth Khan, Dr. Dong Ko, Westfield Hospital and affiliated entities including a related pain clinic, Lehigh Valley Pain Management, have agreed to pay $690,441 to the federal government to resolve allegations that they violated the False Claims Ac... More...
   $690441 (08-17-2016 - PA)

United States of America v. Kurt Bauer

Harrisburg, PA - United States Reaches Agreement With Former York County Chiropractor In Civil False Claims Act Suit


The United States Attorneys Office for the Middle District of Pennsylvania announced today that it has entered into a Consent Decree with former chiropractor Kurt Bauer, age 62, of York, PA, to resolve a suit the United States filed alleging that Bauer remained involv... More...
   $0 (01-06-2016 - PA)

United States of America v. Dr. John Terry, M.D.

Scranton, PA - Health Care Fraud Charges And Plea Agreements Filed Against Tioga County Physician And Two Others

A criminal information has been filed in U.S. District Court in Scranton against Dr. John Terry, age 65, of Wellsboro, in connection with fraudulent prescriptions he wrote for Oxycodone, a Schedule II controlled substance.

According to U.S. Attorney Peter Smith, in Apr... More...
   $0 (01-05-2016 - PA)

United States of America v. Dr. John Terry, et al.

Scranton, PA - Health Care Fraud Charges And Plea Agreements Filed Against Tioga County Physician And Two Others

A criminal information was filed in U.S. District Court in Scranton against Dr. John Terry, age 65, of Wellsboro, in connection with fraudulent prescriptions he wrote for Oxycodone, a Schedule II controlled substance.

According to U.S. Attorney Peter Smith, in April 20... More...
   $0 (01-05-2016 - PA)

Jeffrey Bonkowski v. Oberg Industries, Inc.

Plaintiff Jeffrey Bonkowski appeals from the order of the United States District Court for the Western District of Pennsylvania granting the summary judgment motion filed by Defendant Oberg Industries, Inc. (“Oberg”) with respect to his claims under the Family and Medical Leave Act (“FMLA”). In this appeal, the Court must interpret a Department of Labor (“DOL”) regulation—which state... More...   $0 (05-22-2015 - PA)

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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