Medicaid Law
 
United States of America v. Byron Felton Conner

Dallas, TX - North Richland Hills Physician Admits Role in Health Care Fraud Conspiracy

A licensed physician from North Richland Hills, Texas, Byron Felton Conner, 48, pleaded guilty to one count of conspiracy to commit health care fraud stemming from a scheme to defraud Medicare through the submission of false claims for physician home visits and home health care services.

Con

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United States of America v. Paul Herbert

Paul Hebert Sentenced to Four Year Term of Probation and $5,000 Fine for Social Security and Medicaid Fraud

The Office of the United States Attorney for the District of Vermont announced that Paul Hebert, 51, of Gloucester, Massachusetts, formerly of Barre, Vermont, was sentenced today for Social Security fraud and Medicaid fraud. Chief District Judge Christina Reiss sentenced Hebert to

More...   $5000 (06-08-2016 - VT)

United States of America, ex rel. Steven R. Peikan, M.D., et al. v. Salix Pharmaceuticals, Inc.

New York, NY - Manhattan U.S. Attorney Announces $54 Million Settlement Against Salix Pharmaceuticals For Using “Speaker Programs” As Mechanism To Pay Illegal Kickbacks To Doctors To Induce Them To Prescribe Salix Products
Salix Admits to Paying Doctors to Serve as “Speakers” at Programs that Were Primarily Social in Nature and Where the “Speakers” Spent Little or No Time Discussin

More...   $54000000 (06-14-2016 - NY)

United States of America v. Ubert Guillermo Rodriguez, aka Ubert Guillermo Rodriguez Sigler

Tampa, FL - Former Fugitive Sentenced to Prison for Florida Multimillion-Dollar Health Care Fraud Scheme

A Cuban national was sentenced to 37 months in prison for his role in a multimillion-dollar health care fraud scheme in the greater Tampa, Florida, area.

Ubert Guillermo Rodriguez, aka Ubert Guillermo Rodriguez Sigler, 47, pleaded guilty to conspiracy to commit health care

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United States of America v. Dr. Augustine Egbunike

Houston, TX - Houston Physician Sentenced in Health Care Fraud Conspiracy

Two defendants in a nearly $3 million fraudulent vestibular diagnostic testing scheme have been ordered to federal prison. Dr. Augustine Egbunike, 61, pleaded guilty Jan. 16, 2015, while Loretta Mbadugha, 58, also of Houston, entered a plea for her role in the scheme Dec. 12, 2014.

U.S. District Judge Melin

More...   $2000000 (06-10-2016 - TX)

United States of America v. Genentech, Inc. and OSI Pharmaceuticals, LLC

San Francisco, CA - Pharmaceutical Companies To Pay $67 Million To Resolve False Claims Act Allegations Relating To Tarceva

Pharmaceutical companies Genentech, Inc. and OSI Pharmaceuticals, LLC will pay $67 million to resolve False Claims Act allegations that Genentech and OSI Pharmaceuticals, Inc. made misleading statements about the effectiveness of the drug Tarceva to treat non-small c

More...   $67000000 (06-07-2016 - CA)

Jean Dedmon v. Debbie Steelman, et al.

Jean and Fred Dedmon (collectively, ―Plaintiffs‖) filed this lawsuit against John T. Cook, seeking to recover for injuries arising out of a car accident. Plaintiffs alleged that Mrs. Dedmon incurred medical expenses totaling $52,482.87, and they attached her medical bills to the complaint. Defendant Cook filed an answer specifically denying that the medical bills attached to the comp

More...   $0 (06-06-2016 - TN)

United States of America ex rel. Sheila Rose and Louis Rose v. Fortress Investment Group, LLC. et al.

Portland, OR - United States Recovers over $8 Million in False Claims Act Settlements for Fraud Against the VA and Medicare

Holiday Acquisition Corp. and Fortress Investment Group, LLC (collectively Holiday) agreed to pay $8.86 million to resolve alleged False Claims Act violations for submitting false claims to the United States Department of Veterans Affairs (VA) to qualify veterans or

More...   $8000000 (05-05-2016 - OR)

United States of America v. Paula McNeal aka Paula Quigley and Paula Walker

Lubbock, TX - Former Employee at a Lubbock Counseling Center is Sentenced on Health Care Fraud Conviction

A 36-year-old woman from Lubbock, Texas, Paula McNeal, who pleaded guilty in January 2016 to one count of health care fraud, was sentenced 18 months in federal prison and ordered to pay $104,088 in restitution, announced U.S. Attorney John Parker of the Northern District of Texas.

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United States of America ex rel. Sheila Rose and Louis Rose v. Fortress Investment Group, LLC. et al.

Portland, OR - United States Recovers over $8 Million in False Claims Act Settlements for Fraud Against the VA and Medicare

Holiday Acquisition Corp. and Fortress Investment Group, LLC (collectively Holiday) agreed to pay $8.86 million to resolve alleged False Claims Act violations for submitting false claims to the United States Department of Veterans Affairs (VA) to qualify veterans or

More...   $8000000 (05-09-2016 - OR)

Ann Marie Trinko v. Executive Office of Health and Human Services, et al.

The underlying dispute stems from Woonsocket Health’s decision to discharge
Ms. Trinko from its nursing home facility after her alleged repeated behavioral violations.
Ms. Trinko had resided at Woonsocket Health since approximately November 19, 2009.1
(Compl. ¶ 4). On or about March 9, 2015, Woonsocket Health issued Ms. Trinko a
Notice of Discharge, which stated that she was

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United States of America v. Dr. James Chaney aka "Ace"

London, KY - Hazard Doctor, his Wife and their Clinic Convicted in Massive Drug Trafficking and Health Care Fraud Scheme

A federal jury in London has convicted a doctor, his wife and their clinic of drug trafficking, health care fraud and money laundering, for orchestrating a scheme in which they made millions of dollars by unlawfully prescribing large amounts of prescription pills to cit

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United States of America v. Henry Lora

Miami, FL - Miami Physician Sentenced to 108 Months in Prison for His Role in $30 Million Health Care Fraud Scheme

A Miami physician was sentenced to 108 months in prison for his role in a Medicare fraud scheme that caused approximately $30 million in losses.

Henry Lora, 51, was sentenced by U.S. District Judge Federico A. Moreno of the Southern District of Florida, who also orde

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United States of America v. Ali Elhorr, M.D.

Detroit, MI - Physician Pleads Guilty for Role in Detroit-Area Medicare Fraud Scheme

A licensed physician who worked for a Detroit-area medical practice pleaded guilty for his role in a $2.4 million health care fraud scheme.

Ali Elhorr, M.D., 47, of Dearborn, Michigan, pleaded guilty before U.S. District Judge Nancy G. Edmunds of the Eastern District of Michigan to one count of c

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United States of America v. Jacques Roy, M.D., Cynthia Stiger, Wilbert James Veasey, Jr. and Charity Eleda, R.N.

Dallas, TX - Dallas Doctor and Three Dallas-Area Home Health Agency Owners Convicted for Running Large-Scale, Sophisticated Health Care Fraud Scheme

Following a six-week-long trial before U.S. District Judge Sam A. Lindsay and less than two days of deliberation, a federal jury convicted a Dallas physician and three owners of home health agencies on various felony offenses, including consp

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United States of America v. Nery Cowan

Miami, FL - Former Health Care Clinic Consultant and Biller Sentenced to 135 Months in Miami For Role in $63 Million Medicare Fraud Scheme

A former health care clinic consultant and Medicare biller was sentenced to 135 months in prison and ordered to pay a $100,000 fine for her role in laundering money in connection with a $63 million health care fraud scheme involving a now-defunct Miami

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United States of America v. Wayne Scott Harrington

Tulsa, OK - Tulsa Dentist Pleads Guilty To Money Laundering Charge - Billed For Anesthesia Services Administered By Dental Assistants

Wayne Scott Harrington, age 67, of Tulsa, Oklahoma, pled guilty to an Information filed in the United States District Court for the Northern District of Oklahoma, charging him with MONEY LAUNDERING, in violation of Title 18, United States Code, Section 1957

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Dequisha Jackson v. The State of Texas

On August 13, 2013, Appellant gave birth to a healthy six pound seven ounce baby boy, I’Mauri Jackson. On her discharge from Methodist Hospital in Baytown, Texas, she received instructions from the hospital stating that she was to bring the baby in for a follow up visit with a doctor three days after I’Mauri’s discharge. An appointment was made for I’Mauri for August 19, 2013. Appellant

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United States of America v. Wayne Scott Harrington

Tulsa, OK - Former Dentist Pleads Guilty to Money Laundering

The United States of America charged Wayne Scott Harrington with money laundering in violation of 18 U.S.C. 982.

According to the Tulsa World: "Harrington admitted to depositing in June 2012 nearly $15,300 in funds derived from fraudulent Medicaid billing into a business account he controlled. Harrington admitted to sub

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United States of America v. Alexis C. Norman

Dallas, TX - Ellis County Woman Sentenced to 105 Months in Federal Prison for Defrauding Medicaid

Defendant Also Ordered to Pay Nearly $3 Million in Restitution

n Ellis County woman who pleaded guilty last year to one count of health care fraud arising from her submission of false and fraudulent claims for counseling and psychotherapy services to Medicaid, on behalf of Medicaid b

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Henry Roop v. Southern Pharmaceuticals Corporation, Glen Lingle and Douglas E. Martin

Southern Pharmaceuticals Corporation (“SPC”) is a medical supply company owned
principally by Glenn Lingle and Doug Martin. Nearly seventy percent of SPC’s business is
funded by payments from Medicare and Medicaid. At the time, sales of diabetic equipment
amounted to roughly three percent of SPC’s operations. Henry Roop, who had several years
of experience in medical sales,

More...   $0 (04-08-2016 - )

United States et al. ex rel. Dr. Gibran Ameer v. Philips Electronics North America, et al.

Columbia, SC - Respironics to Pay $34.8 Million for Allegedly Causing False Claims to Medicare, Medicaid and Tricare Related to the Sale of Masks Designed to Treat Sleep Apnea

Respironics Inc., based in Murrysville, Pennsylvania, has agreed to pay $34.8 million to resolve alleged False Claims Act violations for paying kickbacks in the form of free call center services to durable medical e

More...   $35740000 (03-26-2016 - SC)

MOORE v. WARR ACRES NURSING CENTER, LLC.

The plaintiff/appellant, Donald Dewayne Moore (Moore/employee) worked for the defendant/appellee Warr Acres Nursing Center (employer/Nursing Center) as a licensed practical nurse. Moore began employment around January 17, 2008. Moore, became acutely ill with the influenza while working on November 25, 2008. The Nursing Center's director of nursing overheard Moore vomiting at the Nursing Center. Sh

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United States of America v. Dr. Venkateswara R. "V.R." Kuchipudi

Chicago, IL - A federal jury convicted an Oak Brook doctor of illegally receiving benefits in exchange for referring elderly patients to Sacred Heart Hospital on Chicago’s West Side.

After a five-week trial, DR. VENKATESWARA R. “V.R.” KUCHIPUDI was convicted on one count of conspiracy to defraud the United States, and nine counts of illegally soliciting or receiving benefits in retu

More...   $0 (03-04-2016 - IL)

United States of America v. Mkrtich “Mike” Yepremian

Houston, TX - Houstonians Plead Guilty in $13 Million Health Care Fraud Case

The leader and four others charged in a $13 million Medicare and Medicaid health care fraud case have entered guilty pleas for their respective roles.

Mkrtich “Mike” Yepremian, 58, of Houston, pleaded guilty to conspiracy to commit health care fraud and paying kickbacks to marketers of Medicare and

More...   $0 (03-04-2016 - TX)

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