March 15, 2025  Recent Legal News

Criminal

Fraud

Healthcare

HIPAA

Hospitals

Malpractice

Peer Review and Employment

Criminal

Michigan v Irish
Arrested

Dr. Colin Irish a family practitioner in Marquette Township, and his wife Carrie  were arrested for allegedly locking their special needs son in a closet for several hours a day over many months.  

US v Williams
Guilty

Lisa Williams RN of Lithia, Florida, plead guilty to federal charges of stealing and acquiring drugs via misrepresentation.  

US v Kumar
Indicted

Dr. Sanjeev Kumar of Memphis, Tennessee, was indicted for allegedly coercing four women to perform illegal sex acts along with healthcare fraud.  He allegedly reused singe use items and falsely billed fed med.

Tennessee v Atyia
Charged

Dr. Atif Atyia of Jonesborough, was charged with aggravated rape.  He was accused by a patient of rape while in the office.

Argentina v Physicians and Nurses
Trial

The country is charging seven people for their part in the death of Diego Maradona, the great soccer player.  He had drug addiction, obesity and alcoholism for years and that more recently he was recovering from surgery to remove a brain blood clot.  He died from a heart attack.  The neurosurgeon who operated on Maradona is being charged for discharging him too soon.  The psychiatrist was charged for prescribing psychotropic drugs which he had in his system when he died.  After his death the prosecutors office hired a bunch of physicians that came up with the notion of culpable homicide against Maradona's care team.  

Michigan v Four People
Indicted

Four people connected to the death of Thomas Cooper, who died in a fire in a hyperbaric chamber, have been indicted.  They are the management team at the Oxford Center in Troy, Michigan.  The chamber was unlicensed but Michigan does not require that they be licensed or overseen in any meaningful way.  Not listed in the defendants was the doctor who prescribed the chamber for an unauthorized diagnosis.

Mississippi v Ahmad

Dr. Ali Ahmad was arrested in Saltillo for child porn crimes.  He was then fired by his hospital.        Top

Fraud

US v Saad Enterprises

The company agreed to pay $3 million to settle allegations that they submitted false claims for hospice patients who were ineligible since they were not terminally ill.  This is a qui tam case.

US v Goolsby, Goolsby
Settlement

Dr. Henry Goolsby and his wife Patricia Goolsby of Lake Charles, Louisiana, agreed to pay $450,000 to settle allegations that they falsely billed for P-Stim devices.  These are devices that need to by surgically implanted but they just put them behind a patient ear and billed as if they implanted them. 

US v Tassin
Indicted

Dr. Robert Tassin of Slidell, Louisiana, was indicted for allegedly billing for medically unnecessary medical tests.  He worked for telemedicine companies and allegedly signed doctor's orders for patients he never saw nor treated.

US v Congdon, Aluko, Banerjee, Curis Health, Hussain, Saheed Medical Group
Settlement

Dr. Gerald Congdon of Pawleys Island, South Carolina, Dr. Gbenga Aluko of Charlotte, North Carollina, Dr. Anup Banerjeee of Gastnia, North Carolina, Curis Healthcare of Chicago, Omar Hussain of South Miami, Florida, and Saeed Medical Group of Chicago, agreed to pay a total of $1,913,808 to settle allegations that they participated in laboratory kickback claims.  They all received kickbacks to induce ordering of more lab tests.

US v Nourian
Sentenced

Dehshid Nourian of Plano, Texas, was sentenced to 17 years 6 months in prison and ordered to repay $115 million for his part in dispensing and fraudulently billing for compounded creams.          Top

Healthcare

US v UnitedHealth
Failure to Prove Case

This case goes back many years and it is  about the feds attempting to get money back from UnitedHealth for alleged overpayments.  A special master ruled that the feds did not prove their case regarding UnitedHealth exaggerated how sick patients were to illegally get more money than they were entitled to.  

Members v Sutter Health
Settlement

Insureds who are members of various insurers sued in a class action stating Sutter Health used its market position to charge supracompetivive rates to the insurers.  They plaintiffs lost this case in a jury trial in 2022 but that was reversed by a California Court of appeal.   The cost to Sutter is about $411 million.  

Providers v Blue Cross Blue Shield Association
Filed

Dozens of health systems and other groups filed suit against the insurer for using anticompetitive methods to suppress payment.  They allege that the insurer conspired to divide geographic markets and fix reimbursement rates to not allow providers to negotiate fair rates.          Top

HIPAA

Patients v Geisinger
To Be Filed

The feds found upon investigating Max Vance, a person who was fired from Microsoft's Nuane Communication, a laptop with 1.2 million patients information.        Top

Hospitals

Lorain County Prosecutor v Mercy Health Hospital
Dismissed

In a case of vindictiveness the local DA filed a case against the hospital in Lorain, Ohio, for failing to do a body cavity search on a patient who refused to consent.  Search warrants were issued to have the physicians at the hosital search and remove drugs on a patient.  The physicians refused without consent and wanted to have the drugs if present to pass naturally.      Top    

Malpractice

Neubert v Carle Health Methodist Hospital
Trial

The Peoria, Illinois Hospital admitted in a curt filing that nonabsorbable sutures were used in the prostate surgery of the patient and others but put the blame on the physician Dr. John Soble.  Dr. Soble was terminated but according to his attorneys he was never given a satisfactory reason as to the cause of the termination.  Write the check.        Top

Peer Review and Employment

Weiner v St. Peter's Health
Montana Supreme Court

Dr. Weiner sued his hospital after he was terminated.  He is an Oncologist who was accused of treating people with chemotherapy that did not have cancer.  The hospital won summary judgment in the lower court and this was confirmed all the way up.  The Supreme Court ruled that HCQIA applied and that Weiner got a fair trial.        Top


A
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DISCLAIMER: Although this article is updated periodically, it reflects the author's point of view at the time of publication. Nothing in this article constitutes legal advice. Readers should consult with their own legal counsel before acting on any of the information presented.