medical-billing
5 cases — ← All topics
| Case | Title | Lower Court | Docketed | Status | Flags | Tags | Question Presented |
|---|---|---|---|---|---|---|---|
| 25-574 | Ron K. Elfenbein v. United States | Fourth Circuit | 2025-11-13 | Denied | Amici (1)Response Waived | criminal-conviction false-representation health-care-fraud medical-billing statutory-interpretation upcoding | When an allegedly false statement is premised on an ambiguous rule open to multiple reasonable interpretations, can the government secure a defendant'… |
| 25A541 | United States and Georgia, ex rel. Barbara Senters v. Quest Diagnostics Inc. | Eleventh Circuit | 2025-11-10 | Application | circuit-split false-claims-act medical-billing medicare-fraud pleading-standard rule-9b | Whether Federal Rule of Civil Procedure 9(b) requires False Claims Act plaintiffs to identify specific false claim submissions when pleading a fraudul… | |
| 25A129 | UnitedHealthcare Insurance Company, a Connecticut Corporation, et al. v. Fremont Emergency Services (Mandavia), Ltd., a Nevada Professional Corporation, et al. | Nevada | 2025-07-31 | Presumed Complete | contract-rights due-process insurance-billing medical-billing out-of-network supreme-court-interpretation | Whether a state supreme court's interpretation of state insurance law governing out-of-network medical billing disputes can raise federal constitution… | |
| 23-6220 | Daniel Thomason Smith v. United States | Fifth Circuit | 2023-12-11 | Denied | Response WaivedIFP | civil-rights civil-rights-violations corporate-liability discriminatory-practices due-process federal-prosecution fraud medical-billing standing statutory-interpretation takings | Whether the petitioner was improperly denied reimbursement for durable medical equipment services |
| 21-7834 | Anne P. Mulligan v. Johnna Kohl | Alaska | 2022-05-11 | Denied | IFP | billing-practices charity-care medicaid-fraud medical-billing medical-ethics patient-privacy physician-ethics tax-deduction tax-deductions | Can a physician legally obtain a patient's Medicaid information without the patient's knowledge and bill Medicaid? |