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

Los Angeles, CA - Owner of three clinics Sentenced to Prison for Medicare Fraud

The former owner and operator of three medical clinics located in Los Angeles was sentenced today to 78 months in prison for his role in a scheme that submitted more than $4.5 million in fraudulent claims to Medicare.

Assistant Attorney General Leslie R. Caldwell of the Justice Department�

Dallas, TX - Dallas-Based Home Heath Company Owners and Nurses Charged for Roles in $13.4 Million Medicare Fraud Scheme

The co-owners of a home health company in Dallas and two nurse employees were charged in an indictment unsealed yesterday for their alleged participation in a $13.4 million health care fraud scheme involving fraudulent claims for home health services.

Assistant

Hammond, IN - Wanda C. Shorter Found Guilty By Jury Trial

Wanda C. Shorter, 43, of Elkhart, Indiana, was found guilty after a four-day jury trial of all four counts charged by indictment in a health care billing fraud/aggravated identity theft case.

According to documents in this case, Empowerment Non-Emergency Medical Transportation, Inc. (hereafter "Empowerment") was an enrolle

The Center for Medicare and Medicaid Services (CMS)—the component of HHS that administers the Medicare Program—reimburses hospitals for services
3 provided to Medicare patients. Initially, reimbursement was based on a hospital’s reasonable, actual costs. In 1982, concern regarding the rapidly rising costs of Medicare reimbursements prompted Congress to direct the Secretary of HHS to

Miami, FL Four Defendants Sentenced to Prison for Paying and Accepting Bribes and Gratuities

Four defendants have been sentenced to prison terms, by U.S. District Judge Daniel T.K. Hurley in West Palm Beach, for paying and accepting bribes and gratuities.

Irma Davidian, 52, of Boca Raton, was sentenced to 10 years in prison, to be followed by three years of supervised release an

Appellants the District of Columbia, the District’s Mayor, and the Director of the District’s Department of Human Services (collectively, the “District”) appeal two separate awards of attorneys’ fees and expenses for work performed from 2010 to 2012 on this 42 U.S.C. § 1983 Medicaid class action. In this consolidated appeal, the District raises three grounds for its position that the

Amarillo, TX San Angelo, Texas, Psychiatrist Sentenced to Serve 71 Months in Federal Prison on Health Care Fraud Conviction

Dr. Robert Hadley Gross Also Fined $100,000 and Ordered to Pay More Than $1.8 Million in Restitution

A licensed psychiatrist from San Angelo, Texas, Robert Hadley Gross, 58, was sentenced yesterday by U.S. District Judge Mary Lou Robinson to 71 months in fed

New York, NY - Manhattan U.S. Attorney Announces $39 Million Civil Fraud Settlement Against Qualitest Pharmaceuticals For Selling Half-Strength Fluoride Supplements

Preet Bharara, the United States Attorney for the Southern District of New York, Scott J. Lampert, Special Agent in Charge of the New York Regional Office for the Office of Inspector General for the Department of Health and Hu

Omaha, NE - Nebraska Therapist Sentenced in Health Care Fraud Case

A Lincoln-area woman must repay more than $192,000 to the state of Nebraska and serve 12 weekends in jail over the next year after pleading guilty to committing health care fraud. Melissa Prentice-Erickson must also serve six months under house arrest and a 5 year term of probation, under a sentence handed down this after

On July 3, 2007, a paramedic supervisor, Defendant Ethan Barstow (Mr. Barstow), collided with a vehicle driven by the Plaintiff/Appellee, Elizabeth Gowens (Ms. Gowens) resulting in property damage to both vehicles and physical injury to Ms. Gowens. At the time of the collision, Mr. Barstow was a paramedic supervisor for the Defendant/Appellant EMSSTAT which is a division of the Defendant/Appellan

On August 31, 2010, following an investigation by the New Mexico State
19 Police, Defendant Danny Surratt was charged in Lea County Magistrate Court with
2
1 several counts stemming from allegations of inappropriate sexual conduct with his
2 two minor stepgranddaughters. Defendant served for many years as a law
3 enforcement officer in Lea County and was a deputy sheriff at the

Humana, the appellant in this case, administers Medicare benefits to enrollees
in its Medicare Advantage plans pursuant to a contract with the Centers for Medicare
and Medical Services. At all relevant times, Mary Reale, the appellee, was enrolled
in a Humana Medicare Advantage plan (Humana Gold Plus H1036-054C). In
January 2009, Mrs. Reale sustained injuries resulting from a

Lutheran Services Florida, Inc. (LSF), is the court-appointed guardian for the person and property of the ward Larry Peron. Mr. Peron resides in a nursing home facility as a beneficiary of the Medicaid Institutional Care Program (ICP). As part of that program, Mr. Peron pays a portion of his income to the facility as his patient
responsibility payment and Medicaid ICP pays the balance of th

The parties, who never married, are the parents of two minor children born in 2006 and 2008. Father and Mother remained together for a period of time after both children were born, but eventually separated in 2009. As a result, Father filed a petition to establish custody and visitation. The parties came to an agreement and filed a stipulated order establishing custody and visitation, which was

The parties, who never married, are the parents of two minor children born in 2006 and 2008. Father and Mother remained together for a period of time after both children were born, but eventually separated in 2009. As a result, Father filed a petition to establish custody and visitation. The parties came to an agreement and filed a stipulated order establishing custody and visitation, which was

Through the Centers for Medicare and Medicaid Services (CMS), the Secretary provides for the reimbursement of the reasonable costs of healthcare services for Medicare beneficiaries. See 42 U.S.C. § 1395f(b)(1)(A). Two aspects of the reimbursement scheme are relevant here. The first is the system for managing the costs of reimbursement. Healthcare providers submit requests for reimbursement for

The Telecommunications Act of 1996 (1996 Act) was passed by Congress in order to further deregulate the telecommunications industry. 47 U.S.C. § 151 et seq. (2012); see Citizens' Utility Ratepayer Bd. v. Kansas Corporation Comm'n, 264 Kan. 363, 369, 956 P.2d 685 (1998). The 1996 Act was intended to serve the dual purposes of ensuring "universal service" to both low income consumers and consumers

The Telecommunications Act of 1996 (1996 Act) was passed by Congress in order to further deregulate the telecommunications industry. 47 U.S.C. § 151 et seq. (2012); see Citizens' Utility Ratepayer Bd. v. Kansas Corporation Comm'n, 264 Kan. 363, 369, 956 P.2d 685 (1998). The 1996 Act was intended to serve the dual purposes of ensuring "universal service" to both low income consumers and consumers

Plaintiff, New Orleans Regional Physician Hospital Organization, Inc., d/b/a Peoples Health Network (PHN or plaintiff), has filed a motion for reconsideration of a portion of the court’s August 21, 2015 Opinion and Order.1 Pl.’s Mot., Sept. 18, 2015, ECF No. 121-1; see generally New Orleans Reg’l Physician Hosp. Org., Inc. v. United States (New Orleans), 122 Fed. Cl. 807 (2015). Plaintiff

Houston, TX - Jury Convicts Former City of Houston Doctor of Health Care Fraud

A jury has returned a guilty verdict against a former staff physician for the City of Houston of 14 counts of health care fraud in a $1 million health care fraud scheme, announced U.S. Attorney Kenneth Magidson. Jocelyn Pyles-Elo, M.D., 58, was convicted following a 3 ½ day trial in Houston.

The jury

New York, NY - Manhattan U.S. Attorney Announces $370 Million Civil Fraud Settlement Against Novartis Pharmaceuticals For Kickback Scheme Involving High-Priced Prescription Drugs, Along With $20 Million Forfeiture Of Proceeds From The Scheme - Novartis Admits to and Accepts Responsibility for Facts Regarding Its Distribution of Exjade and Myfortic

Preet Bharara, the United States Attorney

DeDe’s1 drug use, petty thefts, and incarcerations eventually resulted in the termination of her parental rights to her five children.2 In this case, she appeals the trial court’s order terminating her parental rights to J.F., J.L., and J.N. She contends that the evidence is legally and factually insufficient to support the trial court’s findings that she (1) knowingly placed or knowingly al

Columbia, SC - HCA Settles Allegations of Billing for Unnecessary Lab Tests and Double Billing for Fetal Testing for $2,000,000

United States Attorney Bill Nettles announced today that the United States Attorney's Office for the District of South Carolina with the State of Florida, settled claims of health care fraud with HCA Holdings, Inc. f/d/b/a HCA, Inc. f/d/b/a HCA – Hospital Corp

Washington, D.C. - Owners of Home Health Care Agency Found Guilty Of Taking Part in $80 Million Medicaid Fraud

Defendants Used Money to Finance a Lavish Lifestyle

Florence Bikundi, and her husband, Michael Bikundi, the owners of Global Healthcare, Inc., a home care agency, have been found guilty by a jury of health care fraud, money laundering, and other charges stemming from a s