Medicare Law
 
United States of America v. James P. Anderson, M.D., Affiliated Neurologists, PLC; Charles F. Spencer, D.C., Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness; and Mitchell P. Shea, D.C., Chiro2Med of Tennessee P.C.

Nashville, Tennessee false claims action lawyers represented James P. Anderson, M.D., Affiliated Neurologists, PLC; Charles F. Spencer, D.C., Total Family Physicians Center PLLC d/b/a Total Family Health & Wellness; and Mitchell P. Shea, D.C., Chiro2Med of Tennessee P.C. who were accused of improper billing for electro-acupuncture using a peri-auricular stimulation device known as “P-Stim” th... More...   $0 (01-07-2021 - TN)

United States of America v. Elizabeth Korcz, M.D. and Matthew Korez

Birmingham, Alabama criminal defense drug lawyer represented defendant charged with unlawfully distributing opioids and other controlled substances while the doctor was absent from the clinic.

Elizabeth Korcz, M.D., 47, a licensed physician, and Matthew Korcz, 47, her husband and former practice manager, both of Hoover, Alabama, were charged with conspiracy to unlawfully distribute co... More...
   $0 (12-21-2020 - AL)

Texas Health and Human Services Commission v. Dimitria Pope and Shannon Pickett

Austin, TX - Employee-side labor and employment attorney represented Dimitria Pope and Shannon Pickett with filing suit against appellant Texas Health and Human Services Commission (HHSC) under the Texas Whistleblower Act.




Pope and Pickett were employed by HHSC as the Director and Associateployment
Director, respectiv... More...
   $0 (12-20-2020 - TX)

United States of America v. Kathryn Nikole Russell

Memphis, TN - Conspiracy to distribute drugs criminal defense lawyer represented Defendant, Kathryn Nikole Russell, 41, of Memphis, was charged with conspiracy to distribute and dispense controlled substances. The defendant was charged in an April 2019 indictment as part of the first Appalachian Regional Prescription Opioid (ARPO) Strike Force Takedown. https://www.justice.gov/usao-wdtn/pr/us-atto... More...   $0 (12-16-2020 - TN)

United States of America v. Uday Shah, et al.

Lexington, KY - Anti-kickback criminal defense lawyers represented several defendants were recently convicted or sentenced for their roles in a conspiracy to violate the federal Anti-Kickback Statute. On December 4 and December 7, 2020, Uday Shah, 66, of Houston, Texas, and Timothy Andrews, 57, of Deer Park, Texas, were charged for their roles in a conspiracy to pay kickbacks to a physician, Dr. ... More...   $0 (12-16-2020 - KY)

United States of America v. Teresita Lumanas Alquero and Providence Home Health and Providence Hospice

Houston, Texas Teresita Lumanas Alquero and Providence Home Health and Providence Hospice knowingly and willfully committed health care fraud by paying improper kickbacks for referrals of Medicare patients to her businesses.

Teresita Lumanas Alquero owned both entities at the time of the alleged violations but has since sold them.

We cannot tolerate kickbacks, especially those d... More...
   $0 (12-15-2020 - OK)

United States of America v. Vancy Bridges

Dallas, Texas criminal defense lawyer represented Vancy Bridges, age 76, who was charged with misprison of a felony.

Bridges worked as a doctor and supervised nurse practitioners for in-home patients. Bridges was unaware that that a co-worker had been previously convicted of healthcare-related fraud and had no medical training. In July 2016, Bridges observed a patient list for patients a... More...
   $0 (12-15-2020 - TX)

United States of America v. Chiropractor Matthew Wood and Life Health Medical Center (LHMC)

Salt Lake City, Utah False Claims Act lawyer represented defendant who improperly billed Medicare for the use of electro-acupuncture device. From November 3, 2018 through February 28, 2020, Dr. Wood and LHMC billed Medicare for an implantable neurostimulator device, a device that typically requires a surgical procedure and is performed by a surgeon in an operating room.

STIVAX is a percu... More...
   $0 (12-09-2020 - UT)

United States of America v. Vernon Sanders

Nashville, Tennessee conspiracy to pay and received kickbacks criminal defense lawyer represented Vernona, Sanders, 54 of Meridian, Mississippi, and owner of FastScripts, LLC, was charged in August with conspiring with unnamed co-conspirators to solicit and receive kickbacks and defraud the Medicare Program of $3,381,434.

Sanders was the owner of a marketing company and a patient broker... More...
   $0 (12-07-2020 - TN)

United States ex rel. Herbold v. Doctors Choice Home Care Inc., et al.

Tampa, Florida Qui tam lawyer represented plaintiff on a False Claims Act claim against Doctor's Choice Home Care, Inc. and former executives paying financial inducements to doctors for referrals.

Doctors Choice Home Care, Inc. and its former executives, Timothy Beach and Stuart Christensen, have agreed to pay $5.15 million to resolve allegations that the home health agency provided impr... More...
   $0 (12-01-2020 - FL)

Planned Parenthood of Greater Texas Family Planning and Preventative Health Services, et al. v. Sylvia Hernandez Kaufmann

In this interlocutory appeal of a preliminary injunction, the dispositive issue is whether 42 U.S.C. 1396a(a)(23) gives Medicaid patients a right to challenge, under 42 U.S.C. 1983, a States determination that a health care provider is not qualified within the meaning of 1396a(a)(23). Our decision rests primarily on two independent bases: (1) the Supreme Courts decision in OBannon v. To... More...   $0 (11-25-2020 - TX)

United States of America v. Grigoriy T. Rodonaia

Beaumont, Texas health care fraud criminal defense lawyer represented Grigoriy T. Rodonaia, age 43, who was charged with 12 counts of health care fraud, three counts of aggravated identity theft, one count of making a false statement, and two counts of accepting kickbacks.

Rodonaia, a physician practicing in Beaumont with Rodonaia Family Medicine and Aesthetics, was indicted on March 18,... More...
   $0 (11-25-2020 - TX)

Dr. Mark A. Berry v. Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS)

Philadelphia, Pennsylvania qui tam lawyer represented plaintiff who sued Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS) for violating the False Claims Act.

Johnson & Johnson (J&J) subsidiary Medical Device Business Services, Inc. (MDBS) agreed to pay $10 million to settle allegations under the False Claims Act that Therakos, Inc., a former J&J sub... More...
   $10000000 (11-22-2020 - PA)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution charge criminal defense lawyer represented Dr. Lawrence J. Valdez, M.D., who was charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, was sentenced after pleading guilty in November 2019 to one count of unlawful distribution of controlled substances.

Valdez admitted that in February 2017 he knowingly d... More...
   $0 (11-17-2020 - TN)

United States of America v. Dr. Eranga Haththotuwa

Wilmington, Delaware false claims act lawyer represented Eranga Cardiology, P.A. and Dr. Eranga Haththotuwa who were accused with committing health care fraud arising under the False Claims Act. Eranga Cardiology is a cardiology practice with locations in Milford and Dover.

From April 2014 to March 2020, the practice submitted claims for reimbursement to Medicare and Medicaid that requi... More...
   $0 (11-13-2020 - DE)

United States of America v. Lawrence J. Valdez, M.D.

Nashville, Tennessee drug distribution lawyer represented defendant doctor charged with unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 51, of Hendersonville, Tennessee, was charged in November 2019 to one count of unlawful distribution of controlled substances.

Pursuant to his guilty plea, Valdez admitted that in February 2017 he knowingly distributed ... More...
   $0 (11-13-2020 - TN)

United States of America v. Richard Farmer

Memphis, Tennessee criminal defense lawyer represented defendant charged with distributing opioids.

Richard Farmer, 83, of Memphis, Tennessee, was with three counts of distribution of controlled substances outside the scope of professional practice and without a legitimate medical purpose.

The defendant was charged in an April 2019 indictment as part of the first Appalachian Regi... More...
   $0 (11-05-2020 - TN)

United States ex rel. Bechtold, et al. v. Asfora, et al.

Sioux Falls, South Dakota Qui Tam False Claims Act violation lawyer represented Medtronic.

Kickbacks undermine the integrity of federal healthcare programs and increase costs borne by taxpayers, said Acting Assistant Attorney General Jeffrey Bossert Clark of the Department of Justices Civil Division. This case demonstrates the Department of Justices commitment to ensure that medical... More...
   $0 (10-30-2020 - SD)

United States of America v. Onkur Lal

Alexandria, Virginia health care fraud conspiracy criminal defense lawyer represented Onkur Lal, who was charged by the United States of America with conspiracy to commit health care fraud that resulted in losses of over $3.5 million.

According to court documents, Onkur Lal, 29, worked in various roles at MedEx Pharmacy, MedEx Health Pharmacy, and Royal Care Pharmacy, which were all owned... More...
   $0 (10-24-2020 - VA)

United States of America v. Edward Stephen

Charleston, West Virginia health care fraud criminal defense lawyer represented Edward Stephen, age 61, who was charged by the United States of America with health care fraud.

When federal workforce programs are defrauded, it comes at great cost to taxpayers, said United States Attorney Mike Stuart. I appreciate the work of the U.S. Department of Transportation OIG and Office of Perso... More...
   $0 (10-24-2020 - WV)

United States of America v. Purdue Pharma, L.P.

New York, NY - The United States of America charged Purdue Pharma, L.P. on civil and criminal theories relating to the manufacture and sale of opoids by the Sackler family.

The abuse and diversion of prescription opioids has contributed to a national tragedy of addiction and deaths, in addition to those caused by illicit street opioids, said Deputy Attorney General Jeffrey A. Rosen. ... More...
   $0 (10-21-2020 - NY)

United States of America v. Rezik Saqer

Houston, Texas fraud criminal defense lawyer represented Rezik Saqer with health care fraud.

Rezik Saqer, 66, of Houston, Texas, was charged with conspiracy to commit health care fraud. Defendant, an area physician and anesthesiologist at two registered pain clinics, Texas Pain Solutions and Integra Medical Clinic, accused of fraudulently billing health care programs for at least $5 mill... More...
   $0 (10-13-2020 - TX)

United States of America v. Dr. Lorraine De Blanche

Little Rock, Arkansas obstruction of justice criminal defense lawyer represented defendant charged with obstruction of justice.

Patient complaints and a surge in claims for durable medical equipment (DME) and compounded prescription drugs triggered investigations into telemedicine fraud targeting federal insurers, including TRICARE, CHAMPVA, and Medicare. This prompted federal inves... More...
   $0 (10-07-2020 - AR)

United States of America v. Advanced Pain Management

Milwaukee, Wisconsin False Claims Act lawyer represented Advanced Pain Management, which was sued by the United States of America on a False Claims Act wrongfully paying kickbacks and and performing medically unnecessary laboratory tests.

Advanced Pain Management (APM) has agreed to pay $1 million to settle claims asserting violations of the False Claims Act by paying kickbacks and by p... More...
   $1000000 (10-07-2020 - WI)

Arash Alborzi v. University of Southern California

Plaintiffs Arash Alborzi, M.D., and Arash Alborzi, M.D.,
Inc. sued defendants University of Southern California, Keck
School of Medicine of USC, and USC Verdugo Hills Hospital
(collectively, USC); as well as Concord Hospitalist Group and
Elevate Health Group. Alborzi and his corporation were part of a
panel of on-call physicians at Verdugo Hills Hospital. Plaintiffs
alleged... More...
   $0 (10-01-2020 - CA)

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