Chilivis Grubman LLP
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Federal Judge Orders CMS to Produce the Entire Universe of Claims in Provider’s Overpayment Challenge

Mar 29, 2024 | General

On March 5, 2024, a South Carolina District Court judge ordered CMS to produce the complete universe of claims, which included zero-paid claims data, in a provider’s due process challenge to an extrapolated overpayment.  In Goose Creek Physical Med., LLC v. Becerra,...

Pharmacist and Pharmacy Technician Face up to 30 Years in Prison for Medicaid Fraud

Mar 29, 2024 | Health Care Fraud

Ohio pharmacist, Nathanael Thompson, and pharmacy technician, Sanam Ahmad, have been convicted of one count of conspiracy to commit health care fraud and two counts of defrauding Medicaid for their roles in a $2.3 million scheme. Thompson owned four pharmacies in...

Operator of Darknet Cryptocurrency “Mixer” Convicted in $400M Money Laundering Case

Mar 29, 2024 | Government Investigations

On March 12, a federal jury in Washington, D.C., unanimously found Roman Sterlingov, a dual Russian-Swedish national, guilty on all charges related to his involvement with Bitcoin Fog, which operated as a bitcoin mixing service on the darknet.  Sterlingov was involved...

Nurse Practitioner “Rock Doc” Sentenced to 20 Years for Illegally Prescribing Opioids

Mar 26, 2024 | Health Care, Health Care Fraud, White Collar Crime

The DOJ announced that Jeffrey W. Young Jr., a Tennessee nurse practitioner known as the “Rock Doc,” has been sentenced to 20 years in federal prison for illegally prescribing opioids. Young, along with two doctors, was indicted in April 2019 for allegedly prescribing...

Attorney Indicted on Charges of Tax Evasion and Willful Failure to Pay Taxes

Mar 26, 2024 | Federal Tax Investigations

On March 22, the Department of Justice (DOJ) announced that a federal grand jury in Los Angeles indicted California attorney Milton C. Grimes in connection with allegations that he owes the IRS more than $1.7 million in taxes for tax years 2010 and 2014.  According to...
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