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Medicare Law
 
United States of America v. Denis John Joachim and Donna Joachim




New Orleans, LA - Louisiana Couple and Their Business Plead Guilty To Operating Sham Medical Reimbursement Account Program That Defrauded the IRS and Program Participants Out Of Over $48 Million

A Covington, Louisiana, couple and their company pleaded guilty for thei... More...
   $0 (06-24-2019 - LA)

Progressive Casualty Insurance Company v. Mary J. Laffey


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Providence, RI - Progressive Casualty Insurance Company sued Mary J. Laffey, R... More...
   $0 (06-21-2019 - RI)

United States of America v. Scott Novick





Miami, FL - South Florida Pill Mill Owner Sentenced to Prison for Role in $2.2 Million Medicare Fraud Scheme

The owner of a pain clinic and a pharmacy in South Florida was sentenced to 78 months in prison followed by three years of supervised release for his ro... More...
   $0 (06-13-2019 - FL)

United States of America v. Acell, Inc.




Baltimore, MD - Medical Device Maker ACell Inc. Pleads Guilty and Will Pay $15 Million to Resolve Criminal Charges and Civil False Claims Allegations

ACell Inc. (ACell), a Maryland-based medical device manufacturer, pleaded guilty to charges relating to its MicroMatrix p... More...
   $0 (06-11-2019 - MD)

United States of America v. Robert A. Glazer, M.D. and Marina Merino




Los Angeles, CA - Los Angeles Doctor and Patient Recruiter Found Guilty in $33 Million Medicare Fraud Scheme

A federal jury found a Los Angeles doctor and patient recruiter guilty for their roles in a $33 million Medic... More...
   $0 (06-07-2019 - CA)

United States of America v. Benjamin Rosenberg, D.D.S.




Los Angeles, CA - Los Angeles Dentist Sentenced to 40 Months in Prison for Role in $3.8 Million Health Care Fraud Scheme

A Los Angeles, California-based dentist was sentenced to 40 months in prison for his role in a $3... More...
   $0 (06-07-2019 - CA)

United States of America v. Insys Therapeutics




Boston, MA - Opioid Manufacturer Insys Therapeutics Agreed to Enter $225 Million Global Resolution of Criminal and Civil Investigations

Company Admited Illegal Conduct Regarding Promotion of Subsys, a Powe... More...
   $225000000 (06-05-2019 - MA)

United States ex rel. Buridi v. Kentuckiana Medical Center LLC, et al.




Indianapolis, IN - Rialto Capital Management and Current Owner of Indiana Hospital to Pay $3.6 Million to Resolve False Claims Act Allegations Arising From Kickbacks to Referring Physicians

The Department of Justice announced today that Rialto Capital Management LLC (Rialt... More...
   $3600000 (06-03-2019 - IN)

United States of America v. Anil Prasad, M.D.




New Orleans, LA - Mandeville, Louisiana Neurologist Pleads Guilty for Role in Scheme to Unlawfully Dispense Controlled Substances and to Commit Health Care Fraud

A neurologist from Mandeville, Louisiana, pleaded guilty for his role in a scheme to unlawfully prescribe... More...
   $0 (05-30-2019 - LA)

United States ex rel. Gadalla v. Dr. Joseph Galichia, et al.




Wichita, KS - Kansas Cardiologist and His Practice Pay $5.8 Million to Resolve Alleged False Billings for Unnecessary Cardiac Procedures

Joseph P. Galichia M.D., a Wichita, Kansas, cardiologist, has agreed to pay $5.8 million to resolve allegations that he and his medical gr... More...
   $5800000 (05-30-2019 - KS)

UNITED METHODIST HOMES, d/b/a ALDERSGATE VILLAGE v. KANSAS DEPARTMENT FOR AGING AND DISABILITY SERVICES












Stat... More...
   $0 (05-30-2019 - KS)

United States of America v. Loren Wessel




Tucson, AZ - Podiatrist Sentenced to Prison for Medicare Fraud Scheme

Loren Wessel, 55, a resident of Tucson, was sentenced by United States District Judge James A. Soto for his role in a Medicare fraud scheme. Wessel had previ... More...
   $0 (05-29-2019 - AZ)

United States of America v. Chad Poage, D.O.




Clarksburg, WV - West Virginia Physician Pleads Guilty to Drug Charge

A Morgantown, West Virginia, physician pleaded guilty to obtaining controlled substances by fraudulently writing prescriptions using colleagues’ Drug Enforcement Administration (DEA) numbers and presenting stolen ... More...
   $0 (05-21-2019 - WV)

United States of America v. Stephen Allen Lamont and Lorena Lamont




Tucson, AZ - Owners of Tucson Home Health Care Business Sentenced to Prison for Medicare Fraud Scheme

Stephen Allen Lamont, 61, and Elvia Lorena Lamont, 51, were sentenced by Senior United States District Judge Cindy K. Jorgenso... More...
   $0 (05-18-2019 - AZ)

United States of America v. Howard Gregg Diamond




Plano, TX - Two North Texas Doctors, One Nurse Sentenced to Prison for Federal Drug Trafficking Violations

Three medical professionals have been sentenced to federal prison over the last week in the Eastern District of Texas for the illegal distribution of opioids and ... More...
   $0 (05-15-2019 - )

United States of America v. Sushil A. Sheth





Dr. Sushil Sheth amassed significant
wealth as a cardiologist, but, as he later admitted in a plea
agreement, he did so in a scheme to overbill government and
private insurers by approximately $13 million. In his p... More...
   $0 (05-13-2019 - IL)

United States of America v. William "Ed" Henry




Montgomery, AL - Former Chief Executive Officer of Health Care Company Sentenced to Two Years Probation for Theft of Government Property

William “Ed” Henry, 48, of Hartselle, Alabama, was sentenced to two years’ probation for aiding and abetting the... More...
   $0 (05-12-2019 - AL)

United States of America v. Dr. Arnita Avery-Kelly




Atlanta, GA - Jury finds podiatrist guilty of operating pill mill

Dr. Arnita Avery-Kelly, a licensed podiatrist, has been found guilty on federal charges of illegally prescribing opioid painkillers and other drugs at... More...
   $0 (05-11-2019 - GA)

United States of America v. Pawankumar Jain




Las Cruces, NM - Former Dona Ana County Doctor Sentenced to 108 Months for Conviction on Unlawful Distribution of Prescription Painkillers and Health Care Fraud

Pawankumar Jain, 66, a former physician, was sentenced in federal court in Las Cruces, N.M., to 108 months in... More...
   $0 (05-09-2019 - NM)

United States of America, ex rel. Deborah Lemon, Sarah Diaz, Eric Castillo and Laverne Fowler





Qui tam relators Deborah Lemon, Sarah Diaz, Eric Castillo, and Laverne Fowler appeal the district court’s dismissal of their False Claims Act (FCA) suit on a Rule 12(b)(6) motion against several hospice organizations owned and operated by ... More...
   $0 (05-07-2019 - TX)

United States of America v. Dr. Richard E. Paulus




Covington, KY - Ashland Cardiologist Sentenced to 60 Months for Health Care Fraud and False Statements

Ashland cardiologist Dr. Richard E. Paulus was sentenced, by U.S. District Court Judge David L. Bunning, to serve 60 months in federal prison for health care fraud a... More...
   $0 (05-06-2019 - KY)

United States of America v. John N. Kapoor; Richard M. Simon; Surise Lee; Joseph A. Rowan; and Michael J. Gurry




Boston, MA - Founder and Four Executives of Insys Therapeutics Convicted of Racketeering Conspiracy

First successful prosecution of top pharmaceutical executives for crimes related to the prescribing of opioids

The founder and four former executives of Insys Therapeu... More...
   $0 (05-03-2019 - MA)

United States of America v. Keeble Lovall




Houston, TX - Ambulance Owner Sent to Prison for Health Care Fraud

A 46-year-old Houston man has been ordered to federal prison following his conviction of conspiracy to commit health care fraud.

Keeble Lovall pleaded guilty J... More...
   $0 (05-02-2019 - TX)

United States ex rel. Bennett v.US WorldMeds, LLC, The Assistance Fund, Inc. et al., No. 3:13-CV-363 (D. Conn.) and United States ex rel. Chinnapongse v.US WorldMeds, LLC, No. 3:16-cv-00804 (D. Conn.).




New Haven, CT - Pharmaceutical Company Agrees to Pay $17.5 Million to Resolve Allegations of Kickbacks to Medicare Patients and Physicians

The Justice Department announced today that US WorldMeds LLC (USWM) has agreed to pay $17.5 million to resolve allegations that it viola... More...
   $0 (04-30-2019 - CT)

United States of America v. Juliette Anais Tamayo




Miami, FL - Owner of Florida Medical Clinic Sentenced to Prison

An owner of a Florida medical clinic was sentenced to serve 91 months in prison for her role in a $2.5 million health care fraud scheme.

Juliette Anais Tamayo, 54, the owner of Miami-based c... More...
   $0 (04-30-2019 - FL)

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