Medicare Law
 
Wade Volz v. General Mortors, LLC

Philadelphia, Pennsylvania employment law lawyer represented the Plaintiff who sued the Defendant on an E.R.I.S.A. breach of fiduciary duty theory.

The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ERI... More...
   $0 (10-05-2023 - PA)

Eric Sumpter v. The Hartford Life and Accident Company

Philadelphia, Pennsylvania employment Law lawyer represented the Plaintiff who sued the Defendant on a wrongful failure to pay E.R.I.S.A. benefits.

"The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ER... More...
   $0 (10-05-2023 - PA)

United States of America v. Genomic Health, Inc.

Brooklyn, New York civil litigation lawyers represented Defendant accused of violating the False Claims ACtby engaging in a nationwide scheme to improperly bill Medicare for certain laboratory tests used to diagnose and treat cancer patients. GHI is a wholly owned subsidiary of Exact Sciences Corporation, which acquired GHI in November 2019.

GHI provides genomic-based clinical diagnostic ... More...
   $32000000 (10-02-2023 - NY)

United States of America v. The Cigna Group

Nashville, Tennessee civil litigation lawyers represented the Defendant accused of violating the False Claims Act by submitting to the Government false and invalid patient diagnosis codes to artificially inflate the payments CIGNA received for providing insurance coverage to its Medicare Advantage plan members.

The Government’s Complaint alleged that the invalid diagnosis codes were b... More...
   $37000000 (09-29-2023 - TN)

United States of America v. Moustafa Moustafa M.D., Nephrology and Hypertension Center Inc.

Newark, New Jersey civil litigation lawyers represented Defendants accused for violating the False Claims Act.

Moustafa Moustafa M.D. and his medical practice, South Carolina Nephrology and Hypertension Center Inc., of Orangeburg and Bamberg, South Carolina, agreed to pay $585,540 to resolve False Claims Act allegations that they received illegal kickbacks in violation of the Anti-Kickbac... More...
   $585650 (09-28-2023 - NJ)

United States of America v. Jesus Virlar-Cadena

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud for submitting over $150 million in false and fraudulent claims to Medicare for hospice and other health care services.

From 2009 to 2018, Jesus Virlar-Cadena, 52, served as the medical director of the Merida Group, a large health care company that operated dozens of locations throughout Texas.... More...
   $0 (09-28-2023 - TX)

United States of America v. Shalondria Simpson and Advance Pharmacy and TruCAre Pharmacy

Houston, Texas criminal defense lawyer represented the Defendant charged with health care fraud, kickback, and money laundering.

Shalondria Simpson, 45, of Houston, is a pharmacist who owned and operated two pharmacies in Houston: Advance Pharmacy (Advance) and TruCare Pharmacy (TruCare). Simpson’s twin sister, physician Lashondria Simpson-Camp, 45, of Allen, Texas, allegedly referred ... More...
   $0 (09-26-2023 - TX)

Donna Schwartz v. Blue Cross and Blue Shield of Florida, Inc.

Miami, Florida employment law lawyer represented the Plaintiff who sued the Defendant on an E.R.I.S.A. law violation theory.

"The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans. ERISA provides for:
<... More...
   $0 (09-25-2023 - FL)

V.A.G. v. Social Security Administration

Greenbelt, Maryland social security disability lawyer represented the Plaintiff seeking review of the denila of her application for Social Security: DIWC/DIWW benefits by HHS.

Disability program for adults who have worked enough to have “insured status” under the Social Security System. For disability, a worker must have worked above a minimum amount 5 out of the last 10 years (as mea... More...
   $0 (09-22-2023 - MD)

United States of America v. Arun Arora

Brooklyn, New York civil litigation lawyers represented the Defendant accused of violating the False Claims Act by billing Medicare for critical care services to residents of nursing homes when, in fact, he provided only routine care.

Dr. Arun Arora, a Queens-based physician, provided care to residents of nursing homes. That care was, for the most part, routine care, such as regular medic... More...
   $0 (09-22-2023 - NY)

United States of America v. Carlos Alberto Padron

Miami, Florida criminal defense lawyer represented the Defendant charged with conspiracy to commit money laundering in violation of 18 U.S.C. 4999, which provides is part:




LII U.S. Code Title 18 PART I CHAPTER 95 § 1956

Quick search by citation:
Title
Section
18 U.S. Code § 1956 - Laundering of monetary instruments

U.S. Code
... More...
   $0 (09-20-2023 - FL)

United States of America v. Travis Gober

Fresno, California criminal defense lawyer represented the Defendant charged with health care fraud and aggravated identity theft.

Travis Gober, 44, of Hanford owned the VIP Sleep Center, which operated sleep clinics in Fresno and Tulare Counties. Sleep clinics perform diagnostic sleep studies on patients to identify disorders like sleep apnea and narcolepsy.

From October 2019 t... More...
   $0 (09-18-2023 - CA)

Elevance Health, Inc. v. Vinod Mohan

Indianapolis, Indiana commercial litigation lawyers represented the Plaintiff who sued the Defendant on a misappropriation of trade secrets theory.


n August 22, 2023, Plaintiff Elevance Health, Inc. ("Elevance") filed this diversity action against its former employee, Defendant Vinod Mohan ("Ms. Mohan"), alleging that Ms. Mohan misappropriated trade secrets. Dkt. 1. Elevance also fil... More...
   $0 (09-15-2023 - IN)

United States of America v. Justin G. LaMonda

St. Louis, Missouri criminal defense lawyer represented the Defendant who was charged with making false statements relating to health care matters.

Justin G. LaMonda’s crimes originated after the Missouri Board of Registration for the Healing Arts suspended his medical license for 30 days in 2017 after he was accused of engaging in sexual activity with his office manager and prescribing... More...
   $0 (09-14-2023 - MO)

United States of America v. Oliver Street Dermatology Management, L.L.C.

Dallas, Texas civil litigation lawyers represented the Defendant accused of violating the Physician Self-Referral Law (the Stark Law) and the Anti-Kickback Statute (AKS),

Oliver Street Dermatology Management LLC agreed to pay the government $8,892,079.72 – including $5,928,053.15 in restitution—within 10 days of the settlement. The settlement credits Oliver Street for its self-disclo... More...
   $0 (09-13-2023 - TX)

Krystin Butler ex rel. United States of America, et al. v. Michael K. Chrism, II and Mile High Psychiatry, LLC

Denver, Colorado fraud claim defense lawyer represented Defendants charged with violating the False Claims Act.

Michael K. Chism, II and Mile High Psychiatry, LLC were accused of violating the False Claims Act by knowingly double-billing time in order to unlawfully obtain increased payments from Medicare and Medicaid.

Mile High Psychiatry is a Colorado company located in Aurora t... More...
   $0 (09-12-2023 - CO)

United States of America v. Evoke Neuroscience, Inc. and David Hagedorn, Ph.D.

Philadelphia, Pennsylvania qui tam litigation lawyers represented Defendants accused of violating the False Claims Act.

Evoke Neuroscience, Inc., of New York will pay $225,000, and its co-founder/CEO David Hagedorn, Ph.D., of Jacksonville, North Carolina, will pay $220,000, to resolve alleged False Claims Act violations for causing the submission of false claims to Medicare by promoting f... More...
   $0 (09-01-2023 - PA)

United States of America v. Rajendra Bothra, M.D., Pain Center USA, P.L.L.C. and Interventional Pain Center, P.L.L.C.

Detroit, Michigan civil litigation lawyer represented Defendant with violating the Qui Tam False Claims Act by billing Medicare and Medicaid for for unnecessary treatments, drug tests and braces.

A Michigan interventional pain management specialist, Rajendra Bothra, M.D., and two medical entities that he owned and operated, The Pain Center USA, PLLC, and Interventional Pain Center, PLLC,... More...
   $0 (08-30-2023 - MI)

C.S. v. Socials Security Administration

St. George, Utah social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW by HHS.

Disability program for adults who have worked enough to have “insured status” under the Social Security System. For disability, a worker must have worked above a minimum amount 5 out of the last 10 years (as measured in quarter... More...
   $0 (08-29-2023 - UT)

United States of America v. Lincare Holdings, Inc.

Spokane, Washington civil litigation lawyers represented accused of fraudulently overbilling Medicare and Medicare Advantage Plans for oxygen equipment.

Lincare Holdings, Inc. a Florida based, wholly-owned subsidiary of German multinational chemical corporation Linde, PLC, provides oxygen equipment to patients with respiratory ailments such as Chronic Obstructive Pulmonary Disease (COPD)... More...
   $0 (08-28-2023 - WA)

United States of America v. Dr. Samson K. Onusa

Clarksville, Tennessee criminal defense lawyer represented Defendant charged with health care fraud.

Dr. Samson K. Orusa, age 61, was accused of performing hundreds of medically unnecessary services including office visits and steroid injections.

The defendant, through his medical clinic in Clarksville, billed federal health insurance programs for hundreds of medically unnecessar... More...
   $0 (08-25-2023 - TN)

United States of America v. Evoke Neuroscience, Inc. and David Hagedorn

Gulfport, Mississippi civil litigation lawyers represented Defendant accused of violating the False Claims Act.

Dr. Hagedorn, a psychologist, co-founded Evoke as a startup in approximately 2009. Evoke sold its “eVox” device primarily to general practitioner physicians. The device involves a 20-60 minute in-office application of a helmet with electrodes that purports to test certain br... More...
   $0 (08-22-2023 - MS)

United States of America v. Air Methods Corporation

Lexington, Kentucky criminal defense lawyer represented Defendant charged with failing to return known overpayments received from Medicare, Kentucky Medicaid, Tricare, and the Department of Veterans Affairs in violation of the False Claims Act.

The United States alleged that Air Methods violated the False Claims Act, by improperly retaining overpayments for more than 100 flights that it ... More...
   $1000000 (08-15-2023 - KY)

SLR v. Social Security Administration

Tulsa, Oklahoma social security disability lawyer represented Plaintiff seeking review of the denial of her application for Social Security: DIWC/DIWW benefit denial by HHS.

DIWC and DIWW are acronyms for Disabled Insured Worker's Claim and Disabled Insured Widow's/Widower's Claim, respectively. They are both types of Social Security disability benefits that are available to people who ha... More...
   $0 (08-14-2023 - OK)

MDM v. Social Security Administration

Tulsa, Oklahoma social security disability lawyers represented Plaintiff who sued Defendant seeking review of the denial of her application for Social Security: SSID Tit. XVI.

"The acronym SSID stands for Supplemental Security Income, which is a different program from Social Security Disability Insurance (SSDI).

SSDI is a program that pays benefits to people who are disabled ... More...
   $0 (08-11-2023 - OK)

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