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Medicaid Law
 
United States of America v. Sajid Javed Southern District of New York - New York, New York

New York, NY - New York City Pharmacy Owner Pleads Guilty To Committing $8.5 Million Fraud On Medicare And Medicaid

Sajid Javed, an owner and operator of nine different pharmacies in the New York City area, pled guilty on April 19, 2018 to participating in a health care fraud scheme that used his pharmacies to submit more than $8.5 million in fraudulent claims to Medicare and Medicaid. J... More...
   $0 (04-19-2018 - NY)

United States of America v. Aharon Aron Krkasharyan Central District of California Federal Courthouse - Los Angeles, California

Los Angeles, CA - Former Employee of Southern California Ambulance Company Sentenced to Prison for Role in Medicare Fraud Scheme

A former employee of a Southern California ambulance company was sentenced on April 16, 2018 to 36 months in prison for his role in a scheme that resulted in more than $1.1 million in fraudulent claims to Medicare.

Acting Assistant Attorney General John... More...
   $0 (04-17-2018 - CA)

STATE OF KANSAS v. SHEENA THOMAS

A jury convicted exotic dancer Sheena Thomas of one count of aggravated battery with a deadly weapon against her fellow dancer, Traci Borntrager. The attack occurred at an establishment called Pleasures, the two women's place of work. The weapon in question—a stiletto heel—was an accoutrement of the trade. Following her conviction, the district court sentenced Thomas to serve 24 months' probation ... More...   $0 (04-14-2018 - KS)

United States of America v. Rotech Healthcare, Inc. Eastern District of Texas Federal Courthouse - Beaumont, Texas

Beaumont, TX - Rotech Agrees To Pay $9.68 Million To Settle False Claims Act Liability Related To Improper Billing For Portable Oxygen

Rotech Healthcare Inc., a Florida-based respiratory equipment supplier, agreed to pay $9.68 million for knowingly submitting false claims for portable oxygen contents to Medicare. As part of the settlement, Rotech admitted that it knowingly billed portab... More...
   $9680000 (04-13-2018 - TX)

Association for Accessible Medicines v. Brian E. Frosh, et al. District of Maryland Federal Courthouse - Baltimore, Maryland

The Association for Accessible Medicines (“AAM”) appeals the district court’s dismissal of its dormant commerce clause challenge to a Maryland statute prohibiting price gouging in the sale of prescription drugs. AAM also appeals the district court’s refusal to enjoin enforcement of the statute on the basis that it is unconstitutionally vague. We hold that the statute violates the dormant commerce ... More...   $0 (04-13-2018 - MD)

United States of America v. John Davis and Brenda Montgomery Middle District of Tennessee - Estes Kefauver Federal Courthouse Nashville, Tennessee

Nashville, TN - Two Tennessee Health Care Executives Charged for Role in $4.6 Million Medicare Kickback Scheme

Two Tennessee health care executives were charged in an indictment unsealed on April 9, 2018 for their alleged participation in a $4.6 million Medicare kickback scheme involving durable medical equipment (DME).

Acting Assistant Attorney General John P. Cronan of the Just... More...
   $0 (04-10-2018 - TN)

State of Louisiana v. Ralph David Turner, Jr.

On October 13, 2016, Turner was charged by bill of information with
the second degree battery of his mother, Nelwyn Turner, in violation of La.
R.S. 14:34.1, which occurred on or about July 23, 2016. The initial bill
incorrectly named the victim and, on December 19, 2016, was amended to
change the victim’s name to Ms. Turner. Also on December 19, 2016,
pursuant to a plea... More...
   $0 (04-09-2018 - LA)

Raad Al-Shaikh v. State Department of Health Care Services

When Dr. Raad Al-Shaikh, an orthopedic surgeon, moved his Fremont practice a
couple of miles from its original location, he applied to the Department of Health Care
Services (DHCS), pursuant to Medi-Cal regulations, for approval of his new office as an
“established place of business.” He had been an approved Medi-Cal provider at his prior
location for six years. Much to Dr. Al-Shai... More...
   $0 (04-08-2018 - CA)

United States of America v. Larry B. Howard Middle District of Florida Federal Courthouse - Tampa, Florida

Tampa, FL - Pharmacy Owner and Pharmacist Sentenced to 160 Months in Prison for $4.3 Million Pain and Scar Cream Kickback Scheme Against Military Insurance Program

The owner of an Orlando, Florida-area pharmacy, who was also a licensed pharmacist, was sentenced on March 30, 2018 for his role in a kickback scheme involving pain and scar creams that resulted in the payment of approximately ... More...
   $0 (03-31-2018 - FL)

STATE OF KANSAS v. DON CHARLES BALL

The charges against Ball arose out of his handling of funds belonging to Richard White III. Richard had suffered a severe head injury in 1979 that left him with diminished mental capacity.

In 1992, Richard was placed in an adult group home operated by Tri-Ko, Inc. Originally, Richard's parents were named as guardians and conservators for him, but after both parents had died, Richard's ... More...
   $0 (03-29-2018 - KS)

United States of America v. Medical Transport, LLC Eastern District of Virginia - Federal Courthouse - Alexandria, Virginia

Alexandria, VA - Ambulance Company to Pay $9 Million to Settle False Claims Act Allegations

Medical Transport LLC, a Virginia Beach-based provider of ambulance services, agreed to pay $9 million to resolve allegations that it violated the False Claims Act by submitting false claims for ambulance transports, the Justice Department announced today.

“Those who benefit from federal ... More...
   $0 (03-29-2018 - VA)

United States of America v. Sandra Parkman Thompson Eastern District of Louisiana Federal Courthouse - New Orleans, Louisiana

New Orleans, LA - New Orleans Woman Sentenced to Prison for Role in $3.2 Million Health Care Fraud and Kickback Scheme

A New Orleans, Louisiana woman was sentenced to 32 months in prison for her involvement in a $3.2 million Medicare fraud and kickback scheme.

Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, U.S. Attorney Duane A. Ev... More...
   $0 (03-29-2018 - LA)

United States of America v. Vidya Banka Eastern District of Pennsylvania Federal Courthouse - Philadelphia, Pennsylvania

Philadelphia, PA - United States Resolves Claims That Philadelphia Cardiologist Billed Medicare For Unnecessary Stent Procedures

Vidya Banka, M.D., a cardiologist and former director of Pennsylvania Hospital’s cardiac catheterization lab, has entered into a settlement agreement with the United States to resolve allegations that he improperly submitted Medicare claims for unnecessary cardi... More...
   $0 (03-20-2018 - NY)

United States of America v. Dr. Abdelrahman Mohamed and Cecilia Manacsa

Greeneville, TN - Physician Owner of HNC and Wife Sentenced for Health Care Fraud Offenses Involving Prescription Opiate Pain Medication

Dr. Abdelrahman Mohamed, 64, and Cecilia Manacsa, 59, both of Morristown, Tennessee, were sentenced by the Honorable J. Ronnie Greer, U.S. District Judge, to serve 36 months and 16 months respectively in federal prison. In addition to his prison sentenc... More...
   $0 (03-16-2018 - TN)

Rebecca Cooper v. Honeywell International, Inc. Western District of Michigan Federal Courthouse - Grand Rapids, Michigan

This is yet another entry in a complicated tangle of cases
dealing with whether retiree benefits in a collective bargaining agreement (“CBA”) should
extend beyond the CBA’s expiration. Rebecca Cooper and some 50 other retirees at Honeywell
International’s Boyne City, Michigan plant say that Honeywell must provide them healthcare
benefits until they reach age 65. Honeywell responds ... More...
   $0 (03-08-2018 - MI)

United States of America v. Brattleboro Memorial Hospital, Inc. United States District Court for the District of Vermont

Brattleboro Memorial Hospital Pays $1,655,000 To The United States And State Of Vermont To Resolve Allegations Of False Claims Act Violations

The United States Attorney’s Office for the District of Vermont announced today that Brattleboro Memorial Hospital, Inc. (BMH) has paid $1,655,000 to the United States and the State of Vermont to resolve civil claims that BMH violated the federal Fa... More...
   $1655000 (03-01-2018 - VT)

United States of America v. Rafael Arias United States District Court for the Southern District of Florida - Miami, Florida

Miami, FL - Owner of Numerous Miami-Area Home Health Agencies Sentenced to 20 Years in Prison for Role in $66 Million Medicare Fraud Conspiracy

The owner and operator of numerous Miami, Florida-area home health agencies was sentenced to 240 months in prison on February 28, 2018 for his role in a $66 million conspiracy to defraud the Medicare program.

U.S. Attorney Benjamin G. Gre... More...
   $0 (02-28-2018 - FL)

United States of America v. Philip E. Michael, II Western District of Kentucky Federal Courthouse - Louisville, Kentucky

What does it mean to “use[]” someone else’s “means of
identification”? 18 U.S.C. § 1028A(a)(1). The question arises in the context of an indictment
alleging that Philip Michael used a doctor’s means of identification (his name and identification
number) and a patient’s means of identification (his name and birth date) to request insurance
reimbursement for a drug the doctor never p... More...
   $0 (02-26-2018 - KY)

Robbie Ohlendorf v. United Food & Commerical Workers Int'l Union, Local 876 Western District of Michigan Federal Courthouse - Grand Rapids, Michigan

The Labor Management Relations Act makes it a crime for an
employer to deduct union dues from an employee’s paycheck and for the union to accept the
dues, except if the employee consents by signing an authorization form, often called a dues
checkoff. Robbie Ohlendorf and Sandra Adams signed dues checkoff authorizations with their
employer in 2013. When they tried to revoke them thr... More...
   $0 (02-26-2018 - MI)

Phillip J. Singer v. Kenneth Reali, et al. Federal Courthouse - Wilmington, North Carolina

These appeals arise from the dismissal of a securities fraud class action complaint in the Eastern District of North Carolina. The action relates to the healthcare provider reimbursement practices of defendant TranS1, Inc., and four officers thereof —defendants Kenneth Reali, Joseph P. Slattery, Richard Randall, and Michael Luetkemeyer (collectively, the “Officers”) — in connection with TranS1’s A... More...   $0 (02-24-2018 - NC)

State of New York v. Yury Baumblit and Rimma Baumblit Supreme Criminal Courthouse - Brooklyn, New York

Brooklyn, NY - Jury Convicts Slum Lord of Medicaid Fraud

The State of New York charged Yury Baumblit and Rimma Baumblit with:

PL 155.35 00
**TOP CHARGE** D Felony, 1 count, Not an arrest charge, Not an arraignment charge
Description Grand Larceny 3rd Degree
Indictment Count 4
Date Added 02/14/2018
Pled Guilty
PL 470.15 01 C Felony, 1 count, Arrest char... More...
   $0 (02-16-2018 - NY)

United States of America v. Eddie Wayne Cooper Western District of Missouri Federal Courthouse - Springfield, Missouri

Springfield, MO - Former Arkansas Lawmaker Pleads Guilty to $4 Million Charity Scheme

Conspiracy Included Several Charity Executives

A former Arkansas state representative pleaded guilty in federal court February 12, 2018 to his role in a conspiracy to embezzle more than $4 million from a Springfield, Mo.-based health care charity.

Eddie Wayne Cooper, 51, of Melbourne, A... More...
   $0 (02-13-2018 - MO)

United States of America v. Thurlee Belfrey, Roylee Belfrey and Lanora Belfrey District of Minnesota Federal Courthouse - Minneapolis, Minnesota

Minneapolis, MN - Health Care Business Owners Sentenced To Prison For Multi-Million Dollar Fraud And Tax Conspiracy

Three defendants were sentenced for their involvement in a years-long, multi-million dollar heath care fraud and tax conspiracy. THURLEE BELFREY, 52, ROYLEE BELFREY, 52, and LANORE BELFREY, 43, each entered guilty pleas on September 14, 2017, and were sentenced yesterday bef... More...
   $0 (02-12-2018 - MN)

Victoria G. Collins v. Commissioner of Social Security Northern District of Ohio Courthouse - Cleveland, Ohio

Victoria Collin brought suit against the Commissioner of
Social Security to recover moneys she says are “due and owing” as a result of the
Commissioner’s failure, for about a year, to garnish certain benefits paid to her ex-husband. The
district court dismissed the suit on grounds of sovereign immunity. We affirm.
>
No. 17-3733 Collin v. Comm’r of Soc. Sec. Page 2
Collin di... More...
   $0 (01-31-2018 - OH)

Philip Marsteller and Robert Swisher v. Lynn Tilton, Patriarch Partners, LLC, MD Helicopters, Inc., Norbert Vergez Northern District of Alabama Federal Courthouse - Birmingham, Alabama

Relators Philip Marsteller and Robert Swisher brought this action against
their former employer, MD Helicopters (“MD”), and codefendants Patriarch
Partners (“Patriarch”), Lynn Tilton, and Colonel Norbert Vergez, under the qui tam
provision of the False Claims Act (“FCA” or “Act”), 31 U.S.C. §§ 3729–30.1 The
allegations of the complaint concern a series of contracts between the Unit... More...
   $0 (01-31-2018 - AL)

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