Medicaid Law
 
Angela Kile v. United States of America





Federal Rule of Civil Procedure 17 controls when a district court must appoint
a guardian ad litem for a minor settling claims with a defendant. The plain language
of the Rule is clear: a district court is not r

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United States of America v. Greenway Health, L.L.C.




Burlington, VT - Electronic Health Records Developer To Pay Second Largest Recovery In The History Of The District Of Vermont -- $57.25 Million -- To Settle False Claims Act Allegations

The Office of the United States Attorney for the District of Vermont stated t

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United States of America v. Families United Services and Pamela McKenzie





Atlanta, GA - Families United Services and Pamela McKenzie to pay $645,000.00 and agree to exclusion in order to resolve False Claims Act allegations

Families United Services, Inc. (FUS) and Pamela McKenzie, the

More...   $645000 (02-11-2019 - GA)

United States of America v. Ali Jama




Columbus, OH - Columbus Home Health Care Provider Sentenced for Fraud

The co-owner of Alpha Star Health Care Inc. was sentenced today in federal court to 18 months in prison for running home health care fraud and tax fraud schemes.

More...   $0 (02-01-2019 - OH)

United States of America v. Tennessee Health Management, Inc.




Nashville, TN - Skilled Nursing Facility Management Company Agrees to Settle False Claims Act Allegations

Tennessee Health Management, Inc. (“THM”) has agreed to pay $9,764,107.98 to settle allegations that it violated the False Claims Act, announced U.S. At

More...   $0 (02-06-2019 - TN)

United States of America v. Ann Davis Eldridge and Angela Angela Breitweiser Keith




Columbia, SC - The United States of America charged Ann Davis Eldridge, age 57, and Angela Breitweiser Keith, age 53, with:

PENALTY FOR SOCIAL SECURITY FRAUD providing benefits under the South Carolina Medicaid plan and TriCare under false repr

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United States of America v. John P. Ramirez and Anh Do




Houston, TX - Two South Texas Doctors Sentenced to Prison for Roles in Separate Multi-Million Dollar Medicare Fraud Schemes

Two Houston, Texas physicians were sentenced to 25 and three-year prison terms for their roles in separate sc

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State of Florida, Agency for Health Care Administration vs Michael Lee Smathers, II



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After Michael Lee Smathers obta

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Ammar Al Batha, as Personal etc. et al. vs State of Florida, Agency for Health Care etc.




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Prior to his death, the decedent was involved in a car accident that left him with life threatening injuries. As a result of those i

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Planned Parenthood of Greater Texas Family Planning and Preventative Health Services, Inc., et al. v. Charles Smith





The Texas Health and Human Services Commission’s Office of Inspector General (“OIG”) sought to terminate the Medicaid provider agreements of Planned Parenthood affiliates throughout the state. The agency based this
1 Judge Haynes concurs in the judgment only.
United State

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Thomas Guifoile v. John M. Shields, Sr., et al.





In alleged violation of the False Claims Act, appellant Thomas Guilfoile claims
he was fired from his job in retaliation for accusing his employer
of violating the Anti-Kickback Statute and making false representations
in customer contracts. See 31 U.S.C. § 3730(h

More...   $0 (01-18-2019 - MA)

United States of America v. Blackfly Investments, LLC, d/b/a Molecular Testing Lab





Seattle, WA - Vancouver, Washington Toxicology Testing Lab Settles Allegations it Paid Kickbacks for Government Program Business
Molecular Testing Labs Allegedly Violated the False Claims Act and the Anti-Kickback Statute by Paying for Referrals of Medic

More...   $1777738 (12-24-2018 - WA)

United States of Amrica v. Dr. Philip Dean




St. Louis, MO - Warren County Doctor Sentenced to 40 Months Imprisonment for Illegallly Distributing Opioids and Medicare Fraud

Dr. Philip Dean, 62, a resident of Warren County, Missouri, was sentenced to 40 months of imprisonment and ordered to pay restitution to t

More...   $0 (12-18-2018 - MO)

Jane Doe v. Michael DeWine, Ohio Attorney General





Defendants-Appellants Michael DeWine, Ohio Attorney General, and Tom Stickrath, Superintendent of the Ohio Bureau of Criminal Investigation, appeal the district-court judgment declaring that Ohio’s sexual-offender registration and notification laws violate Plaintiff-Appellee Jane Doe’

More...   $0 (12-16-2018 - OH)

United States of America v. Alexis C. Norman

Woman Admits Defrauding Medicaid a Second Time, This Time from Prison

In 2015, Alexis C. Norman pleaded guilty to healthcare fraud. But while awaiting sentencing, she concocted another healthcare fraud scheme.

Yesterday afternoon, Ms. Norman, 47, pleaded guilty once again, this time admitting one count of conspiracy to commit healthcare fraud and four counts of healthcare fraud

More...   $0 (12-15-2018 - TX)

Derri Raye Lukasik v. The State of Texas




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Lukasik was charged with intentionally depriving the Texas Department of Human
Services of electronic ben

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United States of America v. John Robert Sink, Jr.




Cheyenne, WY - Cheyenne Psychologist And His Wife Sentenced To 37 Months In Prison For Health Care Fraud

John Robert Sink, Jr., 68, and Diane Marie Sink, 63, of Cheyenne, Wyoming, were sentenced on December 3, 2018, to serve 37 months in prison for making false statements as p

More...   $0 (12-10-2018 - WY)

United States of America v. Nelson M. Mukuna




Las Vegas, NV - Las Vegas Pharmacist Sentenced To Prison For Health Care Fraud Conspiracy

Owner and operator of Atlas Specialty Pharmacy ordered to pay over $3.7 million in restitution

A Las Vegas pharmacist was sentenced by U.S. D

More...   $0 (12-09-2018 - NV)

United States of America v. Ev3, Inc.




Boston, MA - Medical Device Maker ev3 to Plead Guilty and Pay $17.9 Million for Distributing Adulterated Device; Covidien Paid $13 Million to Resolve Civil Liability for Second Device

Minnesota-based medical device manufacturer ev3 Inc. has agreed to plead guilty to charges

More...   $0 (12-09-2018 - MA)

United States of America v. Samuel Okere




Oklahoma City, OK - Behavioral Health Counselor Sentenced to Prison for Defrauding Medicaid

SAMUEL OKERE, 61, of Oklahoma City, was sentenced to a year in prison for Medicaid fraud.

Okere was a licensed professional counselor and owner of New Life Counseling Se

More...   $0 (11-30-2018 - OK)

United States of America v. Stephen Chalker



Miami, FL - South Florida Pharmacist Sentenced to Over Six Years in Prison for Role in $5 Million Compounding Pharmacy Scheme

A South Florida pharmacist was sentenced to 78 months in prison today for his role in a $5 million compounding pharmacy scheme.

As

More...   $0 (11-30-2018 - FL)

United States of America v. Marjorie Robinson




Miami, FL - South Florida Pharmacist Sentenced to More Than Six Years in Prison for Role in $3.4 Million Compounding Pharmacy Scheme

A pharmacist licensed by the State of Florida was sentenced to 78 months in prison for her participation in a scheme involving t

More...   $0 (11-29-2018 - FL)

United States of America v. Faiz Ahmed, M.D.




Houston, TX - South Texas Doctor Sentenced to Five Years in Prison for Role in a Fraudulent Medical Clinic

A Houston, Texas doctor was sentenced to 60 months in prison followed by three years of supervised release for his role in a fraudulent medical clinic that ran costly, u

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United States ex rel. Jihaad Abdul-Majid, et al. v. ImmediaDent Specialty, P.C., et al.




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Louisville, KY - $5.1 Million Dollar Settlement Reached With Indiana Dental Firm To Resolve False

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United States of America v. Bernard Oppong




Columbus, OH - Doctor Practicing in Dublin Charged with Health Care Fraud, Distributing Controlled Substance Through Pain Cream Scheme and Suboxone Clinic

A federal grand jury has charged a Central Ohio doctor with charges related to a health c

More...   $0 (11-05-2018 - OH)

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