Medicare Law
 
United States of America v. Bluewater Toxicology, LLC

Lexington, Kentucky clinical laboratory represented by a civil litigation lawyer accused of violating the False Claims Act, a federal law that prohibits submitting false or fraudulent claims to the federal government.

The Unites States alleged three issues relating to claims for urine drug testing services that Bluewater Toxicology, LLC submitted to Medicare, Kentucky Medicaid, Indiana Me... More...
   $1252403 (07-27-2021 - KY)

United States ex rel. Pennetti v. Interface Rehab, et al.

Los Angeles, California criminal defense lawyer represented Defendant charged with violation of False Claims Act by causing the submission of claims to Medicare for rehabilitation therapy services that were not reasonable or necessary.

During the relevant time period, Medicare reimbursed skilled nursing facilities at a daily rate that reflected the skilled therapy and nursing needs of qua... More...
   $0 (07-23-2021 - CA)

United States and the State of California ex rel. Martin Mansukhani v. Prime Healthcare Services, Inc., et al.

Los Angeles, California civil litigation lawyers represented Defendants charged with violations of the False Claims Act and the California False Claims Act.

Prime Healthcare Services and Two Doctors Agree to Pay $37.5 Million to Settle Allegations of Kickbacks, Billing for a Suspended Doctor, and False Claims for Implantable Medical Hardware

One of the largest hospital systems i... More...
   $0 (07-19-2021 - CA)

United States of America v. Akop Atoyan

Sacramento, California criminal defense lawyer represented defendant charged with one count of conspiracy to commit health care fraud and one count of conspiracy to pay and receive health care kickbacks.

Akop Atoyan, age 48, of Glendale, and his wife, Liana Karapetyan, owned and controlled home health care and hospice agencies in the greater Sacramento area: ANG Health Care Inc., Excel ... More...
   $0 (07-16-2021 - CA)

United States of America v. Genetworx Laboratories

Newark, New Jersey false claims (qui tam) lawyer represented Defendant, Genetworx Laboratories, sued for violating the False Claims Act by submitting or causing to be submitted claims for genetic tests to Medicare without valid physician oversight, Acting U.S. Attorney Rachael A. Honig announced today.

According to the contentions of the United States contained in the settlement agreemen... More...
   $0 (07-13-2021 - NJ)

United States of America v. Dennis Alexander Barahoma

Jacksonville, Florida conspiracy to commit wire fraud charge criminal defense lawyer represented Defendant, Dennis Alexander Barahona, age 38, from Chelsea, Massachusetts with conspiracy to commit wire fraud and conspiracy to commit tax fraud.

Barahona had pleaded guilty on March 29, 2021. Barahona’s co-defendant, Gregorio Jose Fuentes-Zelaya, was sentenced on May 10, 2021, to 33 month... More...
   $0 (07-11-2021 - FL)

United States of America v. St. Jude Medical, Inc.

Baltimore, Maryland civil litigation lawyer allegation lawyer represented Defendant who was accused for defrauding the United States in violation of the False Claims Act.

St. Jude Medical Inc. (St. Jude) has agreed to pay $27 million to settle allegations under the False Claims Act that, between November 2014 and October 2016, it knowingly sold defective heart devices to health care facil... More...
   $27000000 (07-09-2021 - MD)

United States of America v. Alere, Inc. and Alere San Diego, Inc.

Newark, NJ: Medical device manufacturers Alere Inc. and Alere San Diego Inc. of violting the False Claims Act by billing, and causing others to bill, the Medicare program for defective rapid point-of-care testing devices.

From 2008 to 2016, Alere knowingly sold defective INRatio blood coagulation monitors used by Medicare beneficiaries taking anticoagulant drugs, such as warfarin. For th... More...
   $0 (07-09-2021 - NJ)

United States of America v. Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A.

Greensboro, North Carolina Medicaid and Medicare fraud charge fraud accusation lawyer represented Defendants, Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A.

Defendants Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A., of Greensboro and High Point, submitted false claims to Medicaid and Medicare.... More...
   $0 (07-04-2021 - NC)

U.S. ex rel. Doe v. Select Medical Corporation et al.

Newark, New Jersey False Claims Act violation lawyers represented Relators.

A contract rehabilitation therapy provider will pay $8.4 million to resolve allegations that it violated the False Claims Act (FCA) by knowingly causing 12 skilled nursing facilities (SNFs) in New York and New Jersey to submit false claims to Medicare for services that were not reasonable, necessary, or skilled, ... More...
   $0 (07-03-2021 - NJ)

United States of America v. David Fachman

Columbus, Ohio criminal defense lawyer represented Defendant charged with f willful failure to pay over tax to the Internal Revenue Service (IRS).

David Fachman, 59, of New Albany, Ohio was charged with one count of willful failure to pay over tax to the Internal Revenue Service (IRS).

Since at least 1998 Fachman owned and operated The Scarefactory, Inc., a haunted house and sp... More...
   $0 (06-27-2021 - OH)

United States of America v. Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A., of Greensboro and High Point

Greensboro, North Carolina health care fraud claim against Dr. George Osei-Bonsu, M.D., Palladium Primary Care, P.A., and Premiere Health Care Plus, P.A., of Greensboro and High Point settled for $300,000.

“Medicare and Medicaid lay out specific coverage guidelines for diagnostic studies to ensure that taxpayer dollars are only spent on medically necessary exams,” said Acting U.S. At... More...
   $0 (06-23-2021 - NC)

United States of America v. Dr. Gautam Arora

Buffalo, New York drug charge criminal defense lawyer represented Defendant, Dr. Gautam Arora, age 43, who was charted with unlawfully acquiring controlled prescriptions by misrepresentation and fraud, and scheming to defraud a health care benefit program.

The defendant, while working as the pain management doctor at the Hens Pain Center in Amherst, NY, prescribed opioids to multiple pa... More...
   $0 (06-22-2021 - NY)

United States of America v. Loren D. Sherwood

Denver, Colorado unlawfully prescribing drugs charge criminal defense lawyer represented Defendant, Loren D. Sherwood, a former physician at Dave Sherwood Family Medicine in Ridgway, Colorado, who was charged with unlawfully prescribing controlled substances without a medical license in violation of federal law.

Dr. Sherwood’s medical license with the State of Colorado expired on April ... More...
   $0 (06-20-2021 - CO)

United States of America v. Dr. Jeffrey Campbell and Mark Dyer

Louisville, Kentucky conspiracy to unlawfully distribute and dispense controlled substances, conspiracy to commit health care fraud, and conspiracy to commit money laundering charge criminal defense lawyers represented Defendants.

Following a six-week trial, the jury deliberated approximately three days before finding Dr. Jeffrey Campbell, Advanced Practice Registered Nurse Mark Dyer, and... More...
   $0 (06-15-2021 - KY)

United States of America v. Ledger Foot & Ankle, P.A of Harker Heights, Superior Physical Medicine of Round Rock and Precision Spine and Pain Management of San Antonio

San Antonio, Texas False Claims Act Violation lawyers represented Defendant.

Three separate healthcare providers within the Western District of Texas agreed to pay a collective $1,056,340.50 to resolve liability under the False Claims Act for the alleged improper billing of electro-acupuncture devices.

These providers – Ledger Foot & Ankle, P.A of Harker Heights, Superior Physi... More...
   $1056340 (06-15-2021 - TX)

United States of America v. Suhyun An and Campbell Medical Group PLLC and Johnson Medical Group PLLC dba Campbell Medical Clinic

Houston, Texas fraudulent health care billing charge criminal defense lawyer represented Defendants.

Suhyun An owns and manages Campbell Medical Group PLLC and Johnson Medical Group PLLC dba Campbell Medical Clinic in the Spring Valley area of Houston.

In March 2021, the United States filed a civil complaint against An alleging she fraudulently obtained over $3.9 million from th... More...
   $2600000 (06-08-2021 - TX)

United States of America v. Michael LaPaglia, M.D.

Knoxville, Tennessee conspiracy to distribute drugs charged criminal defense lawyer represented Defendant, Michael LaPaglia, 49, who was conspiracy to distribute drug distribution.

LaPaglia, a medical doctor, who previously lost his authorization to write prescriptions for controlled substances, pleaded guilty to an information charging him with one count of conspiring to distribute cont... More...
   $0 (06-06-2021 - TN)

United States of America v. Keyvan Amirikhorheh, M.D.

Los Angeles, California Medicaid Fraud criminal defense lawyer represented Defendant, Keyvan Amirikhorheh, M.D, 61, of Seal Beach, worked as a physician at Los Angeles Community Clinic. Together with his co-defendants, Amirikhorheh defrauded the Family Planning, Access, Care and Treatment (Family PACT) program administered by Medi-Cal, the California Medicaid program, by submitting and causing the... More...   $0 (06-03-2021 - CA)

United States of America v. Alberto Orian Gonzalez-Delgado

Miami, Florida health care and wire fraud charges criminal defense lawyer represented Defendant, Alberto Orian Gonzalez-Delgado, 46, of Miami, who was charged with conspiracy to commit health care fraud and wire fraud.

Eduardo Rubal, 41, of Miami, pleaded guilty to conspiracy to commit health care fraud and wire fraud and was sentenced to 210 months; Vicente Gonzalez Acosta, 50, of Miami,... More...
   $0 (05-28-2021 - FL)

United States of America v. Tarek Abou-Katwa, aka Dean Addem

Washington, DC fraud scheme charged criminal defense lawyer represented Defendant, Tarek Abou-Katwa, a/k/a Dean Addem, 61, of the District of Columbia, was charged with one count of health care fraud, three counts of making false statements related to health care matters, seven counts of mail fraud, six counts of wire fraud and five counts of identity theft charged in a March 2018 indictment.
... More...
   $0 (05-28-2021 - DC)

United States of America v. Dr. Mark Gibbs, Dr. Laila Hirjee, and R.N. Tammie Little

Dallas, Texas conspiracy to commit health care fraud charge criminal defense lawyers represented Defendants.

Novus Health Services Medical Directors Dr. Mark Gibbs and Dr. Laila Hirjee, along with Novus RN Tammie Little were charged with health care fraud.

Additionally, the jury found Dr. Gibbs guilty of two counts of healthcare fraud and one count of obstruction of justice, Dr. ... More...
   $0 (05-25-2021 - TX)

United States, et al. ex rel. Doe, et al. v. SavaSeniorCare, Inc., et al.,

Philadelphia, Pennsylvania skilled nursing facility owner accused for falsely billing Medicare for rehabilitation therapy services.

SavaSeniorCare LLC and related entities (Sava), have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that it violated the False Claims Act by causing its skilled nursing facilities (SNFs) t... More...
   $11200000 (05-25-2021 - PA)

United States ex rel. Rita Hayward v. SavaSeniorCare, LLC, et al.

SavaSeniorCare LLC and related entities (Sava), based in Georgia, have agreed to pay $11.2 million, plus additional amounts if certain financial contingencies occur, to resolve allegations that Sava violated the False Claims Act by causing its skilled nursing facilities (SNFs) to bill the Medicare program for rehabilitation therapy services that were not reasonable, necessary or skilled, and to re... More...   $0 (05-22-2021 - )

United States ex rel. Jonathan Lord, M.D., et al. v. University of Miami

Miami, Florida qui tam lawyer represented Plaintiff who sued Defendant on a False Claims Act fraud claim theory.

The University of Miami (UM) has agreed to pay $22 million to resolve allegations that it violated the False Claims Act by ordering medically unnecessary laboratory tests, and submitting false claims through its laboratory and off campus hospital based facilities (“Hospital ... More...
   $0 (05-21-2021 - FL)

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