Medicaid Law
 
United States of America v. Dr. Dennis B. Barson

HOUSTON, TX – Dr. Dennis B. Barson Jr., 44, and his medical clinic administrator, Dario Juarez, 54, have been convicted on all counts as charged in a conspiracy to defraud Medicare of $2.1 million in less than two months, announced U.S. Attorney Kenneth Magidson. Co-defendant Edgar Shakbazyan entered a guilty plea Oct. 24, 2014. The verdicts were returned just moments ago following seven da

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United States of America v. Nicolas Alfonso Padron and Jose L. Martinez

DALLAS, TX — Physician and Others Sentenced in “Pill Mill” Case -Nicolas Padron Ran “Cash Only” Padron Wellness Clinic in Dallas “Patients” Often Recruited From Homeless Shelters

A physician who ran a “cash only clinic” in Dallas that operated not as a legitimate medical facility, but as a place to unlawfully obtain controlled substan

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United States of America v. Yamile Calvo-Gonzalez

Miami, FL - Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, and Attorney General Pam Bondi announce the sentencing of Yamile Calvo-Gonzalez, 41, of Homestead. United States District Judge Joan A. Lenard sentenced Calvo-Gonzalez to 66 months in prison, to be followed by three years of supervised release, and ordered her to pay $2,015,286.24 in restitution to the Cent

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Glen Murphy v. Adolfo C. Dulay

This appeal involves a federal preemption challenge to a Florida statute requiring presuit actions by an individual plaintiff before he may bring a medical Case: 13-14637 Date Filed: 10/10/2014 Page: 1 of 36
2
negligence claim in Florida state court. The district court held that one of those presuit requirements in Florida Statute § 766.1065—that the plaintiff execute a written a

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United States of America v. Mohamad Abduljaber and Dr. Shannon Wiggins

Grand Rapids, Michigan - Office Manager and Husband of Lansing Area Doctor Sentenced to Prison for Accepting Kickbacks and for Not Reporting to the IRS Income from Medical Marijuana Certification

U.S. District Judge Robert Holmes Bell sentenced Mohamad Abduljaber, 50, of Okemos, Michigan to three and a half years of imprisonment on charges of receipt of health care kickback payments and f

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United States of America v. Annilet Dominguez

Miami, FL - An administrator of a Miami home health care company, Professional Medical Home Health LLC, was sentenced to serve 68 months in prison and ordered to pay $6,257,142 million in restitution today for her participation in a $6 million health care fraud scheme.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Assistant Attorney General Leslie R. Caldwell of the

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United States of America v. Tracie Yvette Clay

GREENSBORO, NC - A Timberlake, North Carolina, woman pleaded guilty to health care fraud and money laundering.

Tracie Yvette Clay, 46, of Timberlake, North Carolina, pleaded guilty in federal court in Greensboro before Chief United States District Court Judge William L. Osteen, Jr., to felony charges of health care fraud and money laundering.

Clay operated a mental health busines

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Nick Coons v. Jacob L. Lew

Plaintiffs Nick Coons and Eric N. Novack brought a facial
constitutional challenge to two provisions of the Patient
Protection and Affordable Care Act, Pub. L. No. 111-148,
124 Stat. 119 (2010), as amended by Health Care and
Education Reconciliation Act of 2010, Pub. L. No. 111-152,
124 Stat. 1029 (“Affordable Care Act”): the individual
mandate, which requires t

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Willa Rosenbloom v. David E.I. Pyott

Allergan, a specialty pharmaceutical manufacturer,
produces Botox, a well-known cosmetic and therapeutic drug.
In 2010, faced with allegations that it had acted illegally in
marketing and labeling Botox, Allergan settled several qui
tam suits and pled guilty in a criminal case. Allergan
ultimately paid a total of $600 million in part for civil
settlements and in part as a c

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Idaho Department of Health & Welfard v. Cathie Peterson

This case arose out of the Department of Health and Welfare’s (IDHW) attempt to recover Medicaid benefits from Melvin Peterson’s estate that were paid during his lifetime. At issue is whether any part of a real estate transfer from Melvin Peterson to his daughter Cathie Peterson is subject to Medicaid recovery.
I. FACTUAL AND PROCEDURAL BACKGROUND
The relevant facts of this c

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United States ex rel. Fowler and Towl v. Evercare Hospice, Inc., et al.

WASHINGTON – The United States has partially intervened against defendants in two whistleblower lawsuits in the Federal District Court for the District of Colorado alleging Evercare Hospice and Palliative Care (Evercare) submitted false claims for the Medicare hospice benefit. Evercare is now known as Optum Palliative and Hospice Care, which provides hospice services across the United Stat

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United States of America v. Andrea Michelle Tellison

HOUSTON, TX – Andrea Michelle Tellison, 47, has been ordered to federal prison for eight years following her convictions of 14 counts of health care fraud and seven counts of aggravated identity theft, announced United States Attorney Kenneth Magidson. A jury convicted Tellison April 2, 2014, following three days of trial and less than two hours of deliberation. Today, U.S. District Judge L

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Jerron C. Hill, M.D. v. Tx-An Anesthesia Management, LLP, et al.

Appellants Jerron C. Hill, M.D., individually, and Jerron C. Hill, M.D., P.A. appeal the trial court’s grant of summary judgment in favor of Tx-An Anesthesia Management, LLP, M2 Healthcare Services, LP, and Anesthesia Business Consultants. Appellants complain, in three issues, that the trial court erred in granting summary judgment because appellees failed to prove that all of appellantsâ

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United States of America v. Annarella Garcia

Miami, FL - A co-owner of Professional Medical Home Health LLC was sentenced today to serve 70 months in prison and ordered to pay $6.2 million in restitution for her participation in a health care fraud scheme involving the now defunct home health care company.

U.S. Attorney Wifredo A. Ferrer of the Southern District of Florida, Assistant Attorney General Leslie R. Caldwell of the Justic

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United States of America v. Lawrence Tyler

HOUSTON, TX – Lawrence Tyler, 42, has been ordered to prison for six years following his convictions of conspiracy to commit health care fraud, seven counts of health care fraud and one count of money laundering, announced United States Attorney Kenneth Magidson. A Houston jury convicted Tyler on May 12, 2014, following five days of trial and less than four hours of deliberation.

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Mohan Kutty, M.D. v. United States Department of Labor

Dr. Mohan Kutty appeals the district court’s
affirmance of the Department of Labor (DOL) Administrative Review Board’s (ARB)
determination that he is personally liable for back wages, including expenses physicians hired by
his clinics incurred in obtaining their J-1 waivers and H-1B visas, and civil penalties. Kutty ran
medical clinics in Tennessee and Florida under s

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United States of America, ex rel. Dr. Jesse Polansky v. Pfizer, Inc.

Plaintiff‐appellant Jesse Polansky appeals a dismissal of his claims against
defendant‐appellee Pfizer, Inc. for alleged violations of the False Claims Act and
state law equivalents. From 2001 to 2003, Polansky, a medical doctor, worked at
Pfizer, and during his tenure he came to believe that Pfizer had violated various
laws. He complained internally about the alleged v

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United States of America v. David Brown; Dr. William Campbell

In this False Claims Act (“FCA”) qui tam suit, relators Drs. Dakshesh Parikh, Harish Chandna, and Ajay Gaalla (collectively, the “Relators”) sued Citizens Medical Center (“CMC”), David Brown (“Brown”), and Dr. William Campbell, Jr. (“Campbell”). Brown and Campbell (collectively, “Appellants”) moved to dismiss the complaint bas

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April McCrory v. Martha E. Bernal

April McCrory v. Martha E. Bernal

Issue # 1.
Issue: FRIENDLY SUIT (SUIT)
Filed by: Mccrory, April
Filed Date: 05/19/2014
Party Name: Disposition Information:

Plaintiff: Mccrory, April
Disposed: ORDER APPROVING SETTLEMENT, 06/27/2014. Judge.

COME NOW, Plaintiff; April McCrory, Individually and as Parent and Next Friend of J,M. and 3M., minor chi

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U.S. ex rel. Heesch v. Diagnostic Physicians Group, P.C. et al.

Mobile, Alabama-based Infirmary Health System Inc. (IHS), two IHS-affiliated clinics and Diagnostic Physicians Group P.C. (DPG) have agreed to pay the United States $24.5 million to resolve a lawsuit alleging that they violated the False Claims Act by paying or receiving financial inducements in connection with claims to the Medicare program, the Justice Department announced today.

â€

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United States of America v. Elsa Ruiz

Miami, FL - Wifredo A. Ferrer, United States Attorney for the Southern District of Florida, Leslie R. Caldwell, Assistant Attorney General, Criminal Division Department of Justice, George L. Piro, Special Agent in Charge, Federal Bureau of Investigation, Miami Field Office and Ryan Lynch, Acting Special Agent in Charge, U.S. Department of Health and Human Services Office of Inspector General (HHS-

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United States of America v. Tariq Mahmood

TYLER, TX – A Dallas County, Texas, physician has been convicted of 15 counts of health care fraud violations in the Eastern District of Texas, announced U.S. Attorney John M. Bales today.

Tariq Mahmood, 63, of Cedar Hill, Texas, was found guilty by a jury of conspiracy to commit health care fraud, seven counts of health care fraud, and seven counts of aggravated identity theft fo

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County of Colusa v. Toby Douglas

We conclude that Welfare and Institutions Code section 14053.1—under which the State of California, rather than its counties, pays for ancillary outpatient services for Medi-Cal eligible patients ages 21 to 64 in an “institution for mental diseases” (IMD)—remains a valid law.1
In reaching this conclusion, we find that Welfare and Institutions Code section 14053.1â€

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United States of America v. Lisa L. Hollier

DALLAS, TX — A licensed pharmacist, who along with four co-defendants was convicted at trial earlier this year for their roles in a “pill mill” operation in Dallas, was sentenced this afternoon, announced U.S. Attorney Sarah R. Saldaña of the Northern District of Texas.

Lisa L. Hollier, 44, of Sunnyvale, Texas, was sentenced by U.S. District Judge Barbara M. G Lynn t

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Barbara Wachocki and Rest Easy Adult Day Care Center, Inc. v. Laurel M. Luna; Veronica Grajeda; Kindred Keepers Adult Day Center, LLC; and Kindred Keepers at Home Services, LLC

¶1 Laurel M. Luna; Veronica Grajeda; Kindred Keepers Adult
Day Center, LLC; and Kindred Keepers At Home Services, LLC
appeal the default judgment entered below in favor of Barbara
Wachocki and Rest Easy Adult Day Care, Inc. (Rest Easy). We
affirm in part, vacate in part, and remand this matter to the district
court for further proceedings consistent with this memorandum

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