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Medicare Law
 
United States of America v. Zahir Shah




Detroit, MI - Michigan Home Health Agency Owner Sentenced to Prison for $8.3 Million Medicare Fraud

A Michigan home health agency owner was sentenced to 84 months in prison for his role in an $8.3 million scheme to defraud Medicare.

Zahir Shah, 49, of West Bloomfield, Michi... More...
   $0 (04-22-2019 - MI)

United States of America v. Camilo Qu Primero and Aurora S. Beltran




Las Vegas, NV - Former Medical Doctor And His Business Partner Sentenced To Nearly Three Years In Prison For $7.1 Million Medicare Health Care Fraud Scheme

A former medical doctor and his business partner were sentenced to 33 months in pris... More...
   $0 (04-20-2019 - NV)

United States of America v. George Gilmore




Trenton, NJ - Ocean County Attorney Convicted Of Failing To Pay Over Payroll Taxes And Making False Statements On Loan Application

A federal jury today convicted George Gilmore, a partner at an Ocean County law firm, of two counts of failing to pay over to the IRS payroll tax... More...
   $0 (04-18-2019 - NJ)

United States of America v. Benjamin Martinez, Giam Nguyen, Anna Bagoumian, Donovan Simmons




All the defendants were convicted of conspiracy to commit health care fraud and several substantive counts of health care fraud. Individual defendants were convicted of different additional offenses. Defendants appeal, challenging the sufficien... More...
   $0 (04-17-2019 - TX)

United States v. Sutter Health, LLC, et al.




San Francisco, CA - Medicare Advantage Provider to Pay $30 Million to Settle Alleged Overpayment of Medicare Advantage Funds

Sutter Health LLC, a California-based healthcare services provider, and several affiliated entities, Sutter East Bay Medical Foundation, Sutter Pacific Med... More...
   $30000000 (04-12-2019 - CA)

James Stokes v. Martin Frederick Muschinske









Plaintiffs James Stokes and his wife Patricia Stokes sued
Defendant Martin Musch... More...
   $600000 (04-10-2019 - CA)

United States of America v. Philip Esformes




Miami, FL - South Florida Health Care Facility Owner Convicted for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice, Involving $1.3 Billion in Fraudulent Claims

A federal jury found a South Florida health care facility owner guilty... More...
   $0 (04-05-2019 - FL)

USA v. L-3 Communications EOTech, Inc.





Movant Milton DaSilva appeals from an order of the United States
District Court for the Southern District of New York, Richard J. Sullivan, then-District
Judge, denying his motion for a declaration that, under the False Claims Act (or
"FCA"), 31 U.S.C. § ... More...
   $0 (04-04-2019 - NY)

United States of America v. John Davis





Nashville, TN - Former CEO of Tennessee Pain Management Company Convicted for Role in Approximate $4 Million Medicare Kickback Scheme

A federal jury sitting in Nashville, Tennessee found the former CEO of a Tennessee pain management company guilty for h... More...
   $0 (04-04-2019 - TN)

United States of America v. Evelyn Mokwuah





Houston, TX - Former Administrator of Two Houston Home Health Companies Sentenced to Prison in $20 Million Medicare Fraud Scheme

The former Director of Nursing and Administration of two Houston, Texas-based businesses was sentence... More...
   $0 (04-04-2019 - TX)

Scott Lynn Gibson, a/k/a Vanessa Lynn v. Bryan Collier




A state does not inflict cruel and unusual punishment by declining to provide sex reassignment surgery to a transgender inmate. The only federal court of appeals to decide such a claim to date has so held as an en banc court. See Kosilek v. Spencer, 774 F.3d 63, 76–78, 87–89, 96 (1st C... More...
   $0 (03-30-2019 - TX)

United States of America v. Jacqueline Tuanqui




Chicago, IL - Chicago Home Health Company Owner Convicted for Role in $3 Million Kickback Scheme

A federal jury found the owner of a now-defunct Chicago, Illinois home health company guilty for her role in a scheme... More...
   $0 (03-28-2019 - IL)

United States of America v. Walter Terrell, Sr.




Detroit, MI - Detroit Man Sentenced to 6 Months in Prison for Stealing More than $280,000 in Government Benefits

A Detroit man was sentenced to six months in prison for stealing more than two-hundred and eighty thousand dollars from the Social Security Administration and the Departm... More...
   $0 (03-26-2019 - MI)

United States of America, ex rel Stephen Lincoln, et al. v. MedStar Health, Inc.




Baltimore, MD - Medstar Health to Pay U.S. $35 Million to Resolve Allegations that it Paid Kickbacks to a Cardiology Group in Exchange for Referrals

MedStar Health, Inc. (MedStar) in Columbia, Md., MedStar Union Memorial Hospital, and MedStar Franklin Squa... More...
   $35000000 (03-24-2019 - MD)

United States of America v. Ademola O. Adebayo





Florida Pharmacist Sentenced to 10 Years in Prison for $100 Million Compounding Pharmacy Fraud Scheme
Eight Others Previously Sentenced

A Florida pharmacist was sentenced to 120 months in prison followed by three years supervised release. He was also orderd... More...
   $0 (03-20-2019 - FL)

ABF FREIGHT SYSTEM, INC., AND ARCBEST CORPORATION V. BYRON DUGGER AND DEATH AND PERMANENT TOTAL DISABILITY TRUST FUND




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Appellee suffered a compensable injury to his back on June 28, 2004. He was
treated by Dr. John Wilson, whose treatment included surgery. Appelle... More...
   $0 (03-18-2019 - AR)

United States of America v. Heath Solutions, P.C., et al.




Nita K. Patel and her husband, Kirtish N. Patel, were
convicted of defrauding Medicare in a prior criminal
proceeding. The United States then brought this civil action
for the same fraudulent schemes against Ms. Patel, Ms.
Patel’s healthcare company (Heart Solution P.C... More...
   $0 (03-15-2019 - NJ)

United States of America v. James Calhoun




Chicago, IL - Creator of Fraudulent Chicago-Area Pharmacy Sentenced to Five Years in Prison for $1.6 Million Fraud Scheme

The creator of a fraudulent Chicago-area pharmacy has been sentenced to 60 months in federal... More...
   $0 (03-14-2019 - IL)

United States of America v. Richard Ira Mintz




Philadelphia, PA - Philadelphia-Area Doctor Pleads Guilty to Unlawfully Distributing Oxycodone

A Philadelphia-area doctor pleaded guilty to illegal distribution of oxycodone.

Richard Ira Mintz, D.O., 69, of Dresher, Pennsylvania, pleaded guilty to eight counts of dis... More...
   $0 (03-14-2019 - PA)

Texas Tech Physicians Associates v. United States Department of Health and Human Services




Medicare incentivizes services, not results. Its fee-for-service model risks not only that beneficiaries may receive treatment they do not need, but also that they may miss out on less expensive treatment that might help. See ... More...
   $0 (03-11-2019 - TX)

United States of America v. CFK, Inc.




San Diego, CA - The United States of America charged CFK, Inc. and others with conspiracy to submit false Medicare claims in violation of 18 U.S.C. 287.

The Government claimed that the Defendants "knowingly and intentionally combined, conspi... More...
   $0 (03-09-2019 - CA)

United States v. Vanguard Healthcare, LLC, et al.




Nashville, TN - Vanguard Healthcare Agrees to Resolve Federal and State False Claims Act Liability

Settlement by Nursing Home Chain is Largest Worthless Services Resolution in Tennessee’s History

The Department of Justice announced that Brentwood, T... More...
   $18100000 (02-28-2019 - TN)

United States of America v. Alexander Ros Lazo and Misleady Ibarra





Miami, FL - Florida Home Health Services Company Owner and Co-Conspirator Sentenced to Prison for Role in $8.6 Million Health Care Fraud Scheme

A home health services company owner and a co-conspirator, both Miami, Florida residents, were sentenced to prison fo... More...
   $0 (02-28-2019 - FL)

Federal Trade Commission v. Shire Viropharma, Inc.





Shire ViroPharma, Inc. (“Shire”),1 manufactured and marketed the lucrative drug Vancocin, which is indicated to treat a life-threatening gastrointestinal infection. After Shire got wind that manufacturers were considering making generic equivalents to Vancocin, it inundated the Unit... More...
   $0 (02-26-2019 - DE)

United States of America v. David Tsui and Wellcare Consulting, LLC




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Tulsa, OK - North Carolina Marketer Agrees to Pay $414,108.08 for Allegedly Engaging in Illegal Kickback Scheme with OK Compounding

David Tsu... More...
   $414108 (02-25-2019 - OK)

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