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Medicaid Law
 
Hoag Memorial Hospital Presbyterian v. Jennifer Kent, as Director of the California Department of Health Care Services

The central question before us is whether an administrative appeal challenging the
overall legality of a Medi-Cal audit reduction encompasses a later challenge to an alleged
calculation error within that same audit for purposes of determining timeliness of the
calculation error challenge. We find it does not.
Petitioner Hoag Memorial Hospital Presbyterian (Hoag) is an acute care ho... More...
   $0 (06-18-2019 - CA)

United States of America v. Scott Novick





Miami, FL - South Florida Pill Mill Owner Sentenced to Prison for Role in $2.2 Million Medicare Fraud Scheme

The owner of a pain clinic and a pharmacy in South Florida was sentenced to 78 months in prison followed by three years of supervised release for his ro... More...
   $0 (06-13-2019 - FL)

United States of America v. Zahid Aslam




Wilmington, DE - Former Delaware Physician Sentenced To 30 Months Imprisonment For Making A False Statement To A Financial Institution

Zahid Aslam, age 46, of Newark, Delaware, was sentenced to a 30-month prison sentence for making a false statement to a financial instituti... More...
   $0 (06-13-2019 - DE)

United States of America v. Douglas Brendle




Cheyenne, WY - Exercise Equipment Inventor Sentenced to Prison for Failing to File Income Tax Returns and Health Care Benefits Fraud

U.S. Magistrate Judge Kelly H. Rankin sentenced Douglas Brendle to 18 months in prison on two counts of willfully failing to file his income tax... More...
   $0 (06-12-2019 - WY)

United States of America v. Robert A. Glazer, M.D. and Marina Merino




Los Angeles, CA - Los Angeles Doctor and Patient Recruiter Found Guilty in $33 Million Medicare Fraud Scheme

A federal jury found a Los Angeles doctor and patient recruiter guilty for their roles in a $33 million Medic... More...
   $0 (06-07-2019 - CA)

United States of America v. Benjamin Rosenberg, D.D.S.




Los Angeles, CA - Los Angeles Dentist Sentenced to 40 Months in Prison for Role in $3.8 Million Health Care Fraud Scheme

A Los Angeles, California-based dentist was sentenced to 40 months in prison for his role in a $3... More...
   $0 (06-07-2019 - CA)

United States of America v. Toshirea Jackson




Bridgeport, CT - Former State Employee Sentenced to Prison for Role in Medicaid Fraud Scheme

Toshirea Jackson, 50, of Bridgeport, was sentenced today by U.S. District Judge Victor A. Bolden in Bridgeport to 24 months of imprisonment, followed by three years of supervis... More...
   $0 (06-02-2019 - CT)

United States of America v. Anil Prasad, M.D.




New Orleans, LA - Mandeville, Louisiana Neurologist Pleads Guilty for Role in Scheme to Unlawfully Dispense Controlled Substances and to Commit Health Care Fraud

A neurologist from Mandeville, Louisiana, pleaded guilty for his role in a scheme to unlawfully prescribe... More...
   $0 (05-30-2019 - LA)

United States ex rel. Gadalla v. Dr. Joseph Galichia, et al.




Wichita, KS - Kansas Cardiologist and His Practice Pay $5.8 Million to Resolve Alleged False Billings for Unnecessary Cardiac Procedures

Joseph P. Galichia M.D., a Wichita, Kansas, cardiologist, has agreed to pay $5.8 million to resolve allegations that he and his medical gr... More...
   $5800000 (05-30-2019 - KS)

UNITED METHODIST HOMES, d/b/a ALDERSGATE VILLAGE v. KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES












Stat... More...
   $0 (05-30-2019 - KS)

United States of America v. Loren Wessel




Tucson, AZ - Podiatrist Sentenced to Prison for Medicare Fraud Scheme

Loren Wessel, 55, a resident of Tucson, was sentenced by United States District Judge James A. Soto for his role in a Medicare fraud scheme. Wessel had previ... More...
   $0 (05-29-2019 - AZ)

United States of America v. Haydn Patrick Thomas




Greensboro, NC - North Carolina Man Sentenced to Over Six Years in Prison for Medicaid Fraud and Tax Evasion Charges

A North Carolina man was sentenced to prison for health care fraud related to the submission of false claims to Medicaid and for tax evasion.

U.S. District ... More...
   $0 (05-24-2019 - NC)

STATE OF OHIO v. WILLIAM S. RIMMER






} On May 9, 2018, in case number 18-CR-0049, the Wyand... More...
   $0 (05-22-2019 - OH)

United States of America v. Daniel Polonia Morillo




Boston, MA - Dominican National Pleads Guilty To Misusing U.S. Passport And Stealing Government Benefits

A Dominican national pleaded guilty in federal court in Boston to multiple federal charges.

... More...
   $0 (05-21-2019 - MA)

United States of America v. Chad Poage, D.O.




Clarksburg, WV - West Virginia Physician Pleads Guilty to Drug Charge

A Morgantown, West Virginia, physician pleaded guilty to obtaining controlled substances by fraudulently writing prescriptions using colleagues’ Drug Enforcement Administration (DEA) numbers and presenting stolen ... More...
   $0 (05-21-2019 - WV)

United States of America v. Stephen Allen Lamont and Lorena Lamont




Tucson, AZ - Owners of Tucson Home Health Care Business Sentenced to Prison for Medicare Fraud Scheme

Stephen Allen Lamont, 61, and Elvia Lorena Lamont, 51, were sentenced by Senior United States District Judge Cindy K. Jorgenso... More...
   $0 (05-18-2019 - AZ)

United States of America v. Howard Gregg Diamond




Plano, TX - Two North Texas Doctors, One Nurse Sentenced to Prison for Federal Drug Trafficking Violations

Three medical professionals have been sentenced to federal prison over the last week in the Eastern District of Texas for the illegal distribution of opioids and ... More...
   $0 (05-15-2019 - )

United States of America, ex rel. Deborah Lemon, Sarah Diaz, Eric Castillo and Laverne Fowler





Qui tam relators Deborah Lemon, Sarah Diaz, Eric Castillo, and Laverne Fowler appeal the district court’s dismissal of their False Claims Act (FCA) suit on a Rule 12(b)(6) motion against several hospice organizations owned and operated by ... More...
   $0 (05-07-2019 - TX)

United States of America v. Dr. Richard E. Paulus




Covington, KY - Ashland Cardiologist Sentenced to 60 Months for Health Care Fraud and False Statements

Ashland cardiologist Dr. Richard E. Paulus was sentenced, by U.S. District Court Judge David L. Bunning, to serve 60 months in federal prison for health care fraud a... More...
   $0 (05-06-2019 - KY)

United States of America v. Bernard Oppong




Columbus, OH - Jury Convicts Doctor of Health Care Fraud, Distributing Controlled Substances through Pain Cream Scheme and Suboxone Clinic

A jury convicted a Central Ohio doctor with charges related to a health care fraud scheme that included ma... More...
   $0 (05-06-2019 - OH)

United States of America v. Keeble Lovall




Houston, TX - Ambulance Owner Sent to Prison for Health Care Fraud

A 46-year-old Houston man has been ordered to federal prison following his conviction of conspiracy to commit health care fraud.

Keeble Lovall pleaded guilty J... More...
   $0 (05-02-2019 - TX)

United States of America v. Zahir Shah




Detroit, MI - Michigan Home Health Agency Owner Sentenced to Prison for $8.3 Million Medicare Fraud

A Michigan home health agency owner was sentenced to 84 months in prison for his role in an $8.3 million scheme to defraud Medicare.

Zahir Shah, 49, of West Bloomfield, Michi... More...
   $0 (04-22-2019 - MI)

State of Ohio v. STACEY M. COTTERMAN








On July 26, 2017, appellant was indicted on ... More...
   $0 (04-12-2019 - OH)

United States of America v. Autumn Brown and Brenda Lowry Horton




Pittsburgh, PA - Two Defendants Sentenced in Multi-Million Dollar Health Care Fraud Conspiracy

Fourteen Additional Defendants Have Been Charged To Date

Two residents of Pittsburgh, Pennsylvania, were sentenced in fe... More...
   $0 (04-12-2019 - Pa)

United States v. Sutter Health, LLC, et al.




San Francisco, CA - Medicare Advantage Provider to Pay $30 Million to Settle Alleged Overpayment of Medicare Advantage Funds

Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Med... More...
   $30000000 (04-12-2019 - CA)

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