Medicaid Law
 
In the Interest of J.M.W.

This is an appeal from the trial court’s SAPCR1 order granting a child support modification in favor of appellee J.S.F., the mother of J.M.W., an adult child who is mentally disabled. Appellant M.L.W., the father of J.M.W., contends the trial court abused its discretion by: (1) disregarding the general child support
1 Under the Texas Family Code, a suit affecting the parent-child relationshi

More...   $0 (07-27-2015 - TX)

United States of America v. Haroutyoun Margossian

Brooklyn, NY - Board Certified Obstetrician And Gynecologist Agrees To Civil Fraud Settlement In Conjunction With Deferred Prosecution In Medicare And Medicaid Fraud Investigation

The United States and New York State have entered into a civil settlement agreement with Haroutyoun Margossian, a Board Certified Obstetrician and Gynecologist (OB/GYN). Margossian maintains an OB/GYN subspecia

More...   $0 (07-26-2015 - )

United States of America v. Kathy Medlock

Defendants-Appellants Woody and Kathy Medlock (the
Medlocks) appeal their jury convictions for aggravated identity theft, health-care fraud, and
related crimes.1 The Medlocks, who are married, owned and operated Murfreesboro Ambulance
Service (MAS), a non-emergency ambulance company that transported Medicare patients to
regular kidney-dialysis appointments. In their appeals, which

More...   $0 (07-17-2015 - TN)

United States of America ex rel. Maurice Keshner v. Nursing Personnel Home Care, Watler Greenfield

21 Defendants‐Appellants Nursing Personnel Home Care and its president
22 Walter Greenfield (collectively, “Nursing Personnel”) appeal from a January 6,
23 2014 partial judgment of the United States District Court for the Eastern District
2
of New 1 York (Block, J.) awarding Plaintiff‐Appellee Maurice Keshner $185,962.12
2 in attorneys’ fees pursuant to the at

More...   $0 (07-23-2015 - NY)

United States of America v. Evelio Fernandez Penaranda

Miami, FL - A Miami-area pharmacy owner pleaded guilty for his role in the submission of more than $1.8 million in fraudulent claims to Medicare. Evelio Fernandez Penaranda, 47, of Miami, Florida, pleaded guilty before U.S. Magistrate Judge Chris M. McAliley of the Southern District of Florida to one count of health care fraud. Sentencing has been scheduled for Oct. 8, 2015.

Penaranda ow

More...   $0 (07-23-2015 - FL)

Wood M. Deming, M.D. v. Jackson-Madison County General Hospital

Jackson, TN - Regional Hospital of Jackson has agreed to pay the United States $510,000 to resolve allegations that it billed Medicare and Medicaid for unnecessary cardiac procedures over an eight-year period.

The hospital agreed to the half-million dollar settlement on Friday, July 10th. According to the allegations, from January 2004 to May 2012, Regional Hospital defrauded Medicare and

More...   $0 (07-23-2015 - TN)

United States of America v. Robert Moyer

COVINGTON, IL — A former X-ray technician from Ft. Thomas, Ky., who previously admitted to defrauding state and federal health care programs out of thousands of dollars, was sentenced to one year in federal prison. U.S. District Judge Amul Thapar sentenced Robert Moyer for health care fraud and also ordered him to pay 112,173.93 in restitution. Under federal law, Moyer must serve at least 85 pe

More...   $0 (07-16-2015 - KY)

UNITED STATES OF AMERICA v. KATHY MEDLOCK (14-5084); WOODY H. MEDLOCK

Woody and Kathy Medlock (the Medlocks) appeal their jury convictions for aggravated identity theft, health-care fraud, and related crimes.1 The Medlocks, who are married, owned and operated Murfreesboro Ambulance Service (MAS), a non-emergency ambulance company that transported Medicare patients to regular kidney-dialysis appointments. In their appeals, which we decide together, the Medlocks arg

More...   $0 (07-18-2015 - )

United States of America v. Vicki S. House

LEXINGTON, KY – The executive director of a Lexington-based home health agency has agreed to pay the U.S. Government $1,082,416 to settle allegations that she provided unlawful compensation to physicians who referred patients to the agency.

Vicki S. House, a resident of Scott County, was the Secretary and an Executive Director of Nurses’ Registry and Home Health Corporation (“Nurses

More...   $0 (07-07-2015 - KY)

United States of America v. Farid Fata, M.D.

Detroit, MI - A Detroit area hematologist-oncologist was sentenced to serve 45 years in prison for his role in a health care fraud scheme that included administering medically unnecessary infusions or injections to 553 individual patients and submitting to Medicare and private insurance companies approximately $34 million in fraudulent claims.

Assistant Attorney General Leslie R. Caldwell

More...   $0 (07-10-2015 - MI)

United States of America ex rel. Michael Drakeford, M.D. v. Tuomey d/b/a Tuomey Healthcare Systems, Inc.

In a qui tam action in which the government intervened, a jury determined that Tuomey Healthcare System, Inc., did not violate the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-33 (2012).1 The district court, however, vacated the jury’s verdict and granted the government a new trial after concluding that it had erroneously excluded excerpts of a Tuomey executive’s deposition testimony. The

More...   $0 (07-10-2015 - )

James Briggs v. Roderick Bremby

11 Plaintiff James Briggs brings this suit under 42 U.S.C. § 1983 against the
12 Commissioner of the Connecticut Department of Social Services (“DSS”) to enforce the
13 Food Stamp Act’s time limits for awarding food stamp benefits. 7 U.S.C. § 2020(e)(3) and
14 (9) provide that participating states shall give such benefits within 30 days of application to
15 eligible househo

More...   $0 (07-06-2015 - CT)

Lori Anderson v. K-V Pharmaceutical Company

This securities fraud class action involves a class of plaintiffs who purchased
or otherwise acquired shares of K-V Pharmaceutical Company stock during the
period in which the company launched and marketed Makena, its new prescription
drug. The plaintiffs allege that K-V and three of its officers (collectively K-V) made
materially false or misleading statements or omissions related

More...   $0 (07-02-2015 - MO)

United States of America ex rel. Michael K. Drakeford, M.D.

In a qui tam action in which the government intervened, a jury determined that Tuomey Healthcare System, Inc., did not violate the False Claims Act (“FCA”), 31 U.S.C. §§ 3729-33 (2012).1 The district court, however, vacated the jury’s verdict and granted the government a new trial after concluding that it had erroneously excluded excerpts of a Tuomey executive’s dep

More...   $0 (07-02-2015 - SC)

United States of America v. Gladys Fuertes and Mario Fuertes

Tampa, FL – U.S. District Judge Susan C. Bucklew sentenced a Miami couple for their roles in operating a sham clinic. Gladys Fuertes (41) was sentenced to 19 years and 6 months in federal prison for engaging in a conspiracy to commit healthcare fraud, healthcare fraud, aggravated identity theft, and obstruction of a healthcare fraud investigation. Her husband and business partner, Mario Fue

More...   $0 (06-29-2015 - FL)

United States of America v. Dr. Devon Golding

St. Louis, MO – DR. DEVON GOLDING was sentenced yesterday to four months imprisonment and eight months home detention on multiple health care fraud related charges for billing for services not rendered and false statements involving a health care benefit plan. Dr. Golding will also have to pay over $145,000 in restitution.

According to testimony presented at trial, Dr. Golding bil

More...   $0 (06-26-2015 - MO)

State of New Jersey v. Ivonne Saavedra

In this appeal, we review the trial court’s denial ofdefendant Ivonne Saavedra’s motion to dismiss her indictment for
official misconduct and theft by unlawful taking of public
documents. We also consider defendant’s constitutional and
public policy challenges to the official misconduct and theft
statutes as they apply to her case.
Defendant, an employee of

More...   $0 (06-23-2015 - NJ)

David King v. Sylvia Burwell

The Patient Protection and Affordable Care Act adopts a series of interlocking reforms designed to expand coverage in the individual health insurance market. First, the Act bars insurers from taking a person’s health into account when deciding whether to sell health insurance or how much to charge. Second, the Act generally requires each person to maintain insurance coverage or make a payme

More...   $0 (06-25-2015 - DC)

United States of America v. Oliver Taylor and Lisa Taylor

LONDON — A McCreary County couple, who defrauded the Social Security Administration and Kentucky Medicaid out of hundreds of thousands of dollars, has been sentenced in federal court.

On Thursday, June 18, U.S. District Judge Gregory F. Van Tatenhove sentenced Oliver Taylor, 59, to 33 months in prison, for theft of government property, health care fraud, and defrauding the Social S

More...   $0 (06-22-2015 - KY)

United States of America v. Caroline Big Hair, Vicky Blair, Tonya Brackett, Meghan Gontz, Nelson Grandchamp, Earline Pritchard, Georgia Wetsit, Bonnie Wingo

HELENA – Montana U.S. Attorney Michael Cotter announced today the culmination of a federal operation that found nine Montanans engaged in Social Security fraud. Dubbed “Operation Save our Social Security,” Operation S.O.S. uncovered approximately a half-million dollars in fraudulent payments to individuals in Montana, which occurred when the individuals provided false informatio

More...   $0 (06-18-2015 - MT)

United States of America v. Suncoast Brace & Limb, Inc.

Tampa, Florida – United States Attorney A. Lee Bentley, III announces that Suncoast Brace & Limb, Inc. (“SCBL”), based in Bradenton, today pleaded guilty to health care fraud. The corporation faces a maximum fine of $500,000 and the payment of restitution at the time of sentencing. A sentencing date has not yet been set.

According to the plea agreement, between July 200

More...   $0 (06-19-2015 - F)

United States of America v. Joe White

TYLER, Texas – The former Chief Financial Officer of Shelby Regional Medical Center has been sentenced to federal prison in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

Joe White, 68, of Cameron, Texas, pleaded guilty on Nov. 12, 2014 to making a false statement and was sentenced to 23 months in federal prison today by U.S. District Judge Michael Schn

More...   $0 (06-17-2015 - TX)

United States of America v. Pat Akamnonu

DALLAS — A 52-year-old registered nurse from Cedar Hill, Texas, who owned a home health company, appeared in federal court this afternoon and pleaded guilty to her role in a health care fraud conspiracy, announced John Parker, Acting U.S. Attorney for the Northern District of Texas.

Pat Akamnonu, along with her husband, Cyprian (Cy) Akamnonu, owned Ultimate Care Home Health Service

More...   $0 (06-16-2015 - TX)

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”)

More...   $0 (05-22-2015 - PA)

Mindy Backer v. Nirav R. Shah, M.D.

Mindy Backer appeals from Judge Mauskopf’s Fed. R. Civ. P.
19 12(b)(1) and 12(b)(6) dismissal of her complaint alleging a
20 Section 1983 violation. In that action, she claimed that the New
21 York State Department of Health (“DOH”) violated the Medicaid
22 Act, 42 U.S.C. § 1396 et seq., when DOH determined that
23 guardianship fees approved by a state cou

More...   $0 (06-03-2015 - NY)

Next Page