Sacramento, CA - The United States of America charged Jai Vijay with:

CONSPIRACY TO PAY AND RECEIVE HEALTH CARE KICKBACKS

Jai Vijay, 54, of Sacramento, pleaded guilty to conspiring with the owners of home health care agencies and a hospice agency to pay and receive illegal kickbacks in exchange for Medicare beneficiary referrals.

According to court documents, Jai Vijay’s... More...   $0 (02-09-2020 - CA)

St. Louis, MO - The United States of America charged Bradley A. Seyer, D.D.S. with making false statements relating to health care matters.

Bradley A. Seyer, D.D.S., 53, of Florissant, Missouri, was sentenced today to 18 months of imprisonment and a $50,000 fine. Previously, on June 26, 2019, Dr. Seyer pleaded guilty to two felony charges of making false statements to Medicare and illega... More...   $0 (02-08-2020 - MO)

Roanoke, VA - The United States of America charged Frank Purpera, Jr. with drug distribution and health care fraud.

The former owner of the Virginia Vein Institute, who illegally distributed controlled substances, conspired to commit health care fraud, committed health care fraud, and then obstructed justice to hinder the investigation, was convicted yesterday at the conclusion of a seven... More...   $0 (02-04-2020 - VA)

Gainesville, FL - The United States of America charged Erik M. Schabert with health care fraud and money laundering.

Erik M. Schabert, 48, a physician, and his ex-wife, Mika Kamissa Harris, 49,
both of Gainesville, Florida. A jury found both guilty on health care fraud and money laundering charges involving more than $8 million.

While owning and operating Reliant Family Prac... More...   $0 (01-31-2020 - FL)

San Diego, CA - The United States of America sued Arch Health Partners, Inc. on a False Claims Act violation theory.

Arch Health Partners, Inc. (“Arch Health”) has agreed to pay the United States $2,910,370 to resolve allegations that it violated the False Claims Act by submitting false claims to Medicare. Arch Health is a San Diego-based medical organization that contracts with physicia... More...   $2900000 (01-29-2020 - )

Knoxville, TN - The United States of America sued Dr. Chang-Wen on a False Claims Act violation theory.

Family physician Dr. Chang-Wen Chen and his practice Chang-Wen Chen, M.D., P.C. paid $285,000 to resolve allegations that they violated the False Claims Act by improperly charging government health care programs the physician’s rate for services that were provided by nurse practitioners... More...   $0 (01-27-2020 - OK)

Cleveland, OH - The United States of America charged Ryan P. Sheridan with:

Ryan P. Sheridan, 39, the owner and operator of Braking Point Recovery Center, which operated in the Youngstown and Columbus areas, was sentenced to 7 ½ years in prison for crimes related to a health care fraud conspiracy where Medicaid was billed $48 million for drug and alcohol recovery services, much of which w... More...   $0 (01-27-2020 - OH)

Brooklyn, NY - The United States of America sued Dr. Rajendra Bhayani claiming that he paid kickback and and submitted false claims for reimbursment.

Dr. Rajendra Bhayani, an otolaryngologist, has agreed to pay the United States $1,109,000 to resolve civil allegations that he and his practice – New York Otolaryngology & Aesthetic Surgery, P.C. in Brooklyn and Queens – paid kickbacks and s... More...   $1100000 (01-22-2020 - NY)

San Diego, CA - Numerous complaints sued MesMed on qui tam theories.

ResMed Corp., a manufacturer of durable medical equipment (DME) based in San Diego, California, has agreed to pay more than $37.5 million to resolve alleged False Claims Act violations for paying kickbacks to DME suppliers, sleep labs and other health care providers, the Department of Justice announced today.

“P... More...   $0 (01-20-2020 - CA)

Nashville, TN - The United States of America charged James L. Crabb, M.D., age 78, with conspiracy to commit healthcare fraud.

James L. Crabb, M.D., 78, of Loretto, Tennessee, was charged for his role in a $7 million healthcare fraud conspiracy. Crabb was charged in a criminal Information on December 20, 2019, and appeared before a U.S. Magistrate Judge.

According to the chargin... More...   $0 (01-16-2020 - TN)

Lexington, KY - The United States of America charged Theresa C. Merced, age 80, with soliciting kickbacks.

A Jackson, Kentucky, woman admitted she solicited kickbacks from a toxicology laboratory in exchange for urine drug testing referrals, lied to law enforcement agents about the kickback she received, and then attempted to cover up the kickback by requesting the alteration of certain f... More...   $0 (01-16-2020 - KY)

Plaintiffs and appellants Dignity Health and Northridge
Hospital Medical Center (Northridge Hospital; collectively,
plaintiffs) appeal from a grant of summary judgment in favor of
defendant and respondent Local Initiative Health Care Authority
of Los Angeles County dba L.A. Care Health Plan (defendant).
Defendant is a managed care health plan that provides health
care cover... More...   $0 (01-12-2020 - CA)

Los Angeles, CA - The United States of America chrged Kain Kumar with medicare fraud and illegall prescribing opioid painkillers and muscle relaxers.

A former Los Angeles-area physician was sentenced today to 24 months in prison and three years of supervised release for engaging in a multi-faceted Medicare fraud scheme and for illegally prescribing thousands of opioid painkillers and musc... More...   $0 (01-07-2020 - CA)

Nashville, TN - The United States of America charged Medsurant Holdings, LLC with violation of the False Claims Act.

Medsurant Holdings, LLC, of West Conshohocken, Pennsylvania, agreed to pay $1.9 million to settle the United States’ allegations that it had violated the False Claims Act.

Mesurant Holdings, which operates under the trade name Medsurant Health, is the largest indep... More...   $0 (01-07-2020 - TN)

Defendant and appellant John-David Gonzales (Gonzales) appeals the orders of
the trial court that led to the disbursement of settlement funds to respondents Michael
Silvers, a law corporation (Silvers), Panish, Shea & Boyle (PSB), Michael W. Jacobs
(Jacobs), Case Advance (CA),1 Nexus Physical Therapy (Nexus), and Everence
Association, Inc. (Everence) (Silvers, PSB, Jacobs, CA, Nexu... More...   $0 (12-10-2019 - CA)

Philadelphia, PA - The United States of America charged Rising Pharmaceuticals, Inc. with engaging in a criminal conspiracy to fix prices and allocate customers for a generic drug.

Rising Pharmaceuticals Inc. (Rising), a generic pharmaceutical company headquartered in New Jersey, was criminally charged for conspiring to fix prices and allocate customers for a generic hypertension drug, an... More...   $0 (12-04-2019 - PA)

Nashville, TN - The United States of America charged Darrel R. Rinehart, M.D. with unlawfully distributing controlled drugs.

A medical doctor who formerly practiced in Tennessee pleaded guilty for his role in unlawfully distributing controlled substances.

Darrel R. Rinehart M.D., 64, of Indianapolis, Indiana, formerly of Columbia, Tennessee, pleaded guilty to one count of unlawfu... More...   $0 (12-03-2019 - TN)

Nashville, TN - The United States of America charged Lawrence J. Valdez, M.D. with drug distribution.

A Tennessee emergency medical doctor pleaded guilty for his role in unlawfully distributing controlled substances.

Lawrence J. Valdez, M.D., 50, of Hendersonville, Tennessee, pleaded guilty to one count of unlawful distribution of controlled substances before U.S. District Judge ... More...   $0 (11-26-2019 - TN)

Tulsa, OK - The United States of America charged Dr. Gregory Sinclair Connor, 61, with:

18:1347-Health Care Fraud; 18:982(a)(7), 21:853, 18:982(a)(2)(B), and 18:1028(b)(5)-Health Care Fraud Forfeiture
(1ss)

21:331(c) and 333(a)(2)-Fraud Relating to a Misbranded Drug; 18:982(a)(7), 21:853, 18:982(a)(2)(B), and 18:1028(b)(5)-Health Care Fraud Forfeiture
(2ss)

18:10... More...   $0 (11-26-2019 - OK)

Beaumont, TX - The United States of America charged Douglas Duane Franklin with health care fraud.

A 59-year-old Beaumont mental health care counselor has pleaded guilty to health care fraud in the Eastern District of Texas.

Douglas Duane Franklin pleaded guilty to an Information charging him with health care fraud.

According to informatio... More...   $0 (11-25-2019 - TX)

Louisville, KY - The United States ex rel. Stone v. Jewish Hosp. & St. Mary’s Healthcare, Inc., et al., on qui tam theories claiming they submitted false claims for Medicare reimbursement.

Jewish Hospital & St. Mary’s Healthcare Inc., doing business as Pharmacy Plus and Pharmacy Plus Specialty (collectively, Jewish Hospital), of Louisville, Kentucky, have agreed to pay $10,101,132 to res... More...   $10101132 (11-21-2019 - KY)

Tony Sarun had no health insurance in March 2012 when
he received emergency care at Northridge Hospital Medical
Center, then owned and operated by Dignity Health.1 Upon
admission Sarun signed an agreement to pay the hospital’s “full
charges, unless other discounts apply.” “Full charges” were
defined as “the Hospital’s published rates (called the
chargemaster), prior to any ... More...   $0 (11-16-2019 - CA)

Detroit, MI - The United States of America charged Malik Fuqua with conspiracy to distribute controlled substances.

The owner of a Detroit, Michigan-area physical therapy clinic pleaded guilty for his role in a drug diversion scheme.

Malik Fuqua, 49, of Southfield, Michigan, pleaded guilty to one count of conspiracy to distribute controlled substances before U.S. District Judg... More...   $0 (11-14-2019 - MI)

New York, NY - The United States of America charged David B. Samadi, MD, Leonex Hill Hospital, and Northwell Health, Inc.with civil healthcare fraud.

Defendants Admit Practices Resulted in Submission of Several Million Dollars of Inappropriate Claims to Medicare

Geoffrey S. Berman, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Age... More...   $12300000 (11-11-2019 - NY)