medicare-fraud

14 cases — ← All topics

Case Title Lower Court Docketed Status Flags Tags Question Presented
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…
25A64 United States and Michigan, ex rel. Erik Olsen, et al. v. Tenet Healthcare Corporation, et al. Sixth Circuit 2025-07-16 Presumed Complete false-claims-act government-healthcare medicare-fraud pleading-standard qui-tam rule-9b 1. This case presents an important question that deeply divides the circuits over whether Federal Rule of Civil Procedure 9(b)'s heightened pleading s…
23-5351 John P. Ramirez v. United States Fifth Circuit 2023-08-14 Denied Response WaivedIFP certificate-of-appealability citizen-united-v-fec due-process ineffective-assistance ineffective-assistance-of-counsel medicare-fraud post-conviction-relief section-2255 yee-v-escondido Whether the court below erred in procedurally denying to issue a COA for this purely legal claim, in direct conflict with this Court's opinion in Home…
23-55 J. Cory Cordova v. Louisiana State University Agricultural & Mechanical College Board of Supervisors, et al. Fifth Circuit 2023-07-21 Denied Response WaivedRelisted (2) adversary-system attorney-misconduct first-amendment fraud judicial-review litigation-tactics medicare-fraud public-interest sanctions viewpoint-discrimination Whether the lower courts' imposition of punitive sanctions violates Petitioner's rights under the First Amendment
22-382 Yolanda Hamilton v. United States Fifth Circuit 2022-10-24 Denied Response Waived claims-extrapolation criminal-liability expert-testimony extrapolation lay-testimony medical-necessity medicare-fraud Whether a physician can be criminally liable for Medicare fraud when the Government fails to produce medical expert testimony and instead relies solel…
21-366 Michael Jones v. United States Fifth Circuit 2021-09-08 Denied Response Waived criminal-intent criminal-prosecution due-process expert-testimony fifth-circuit fraud medicare-fraud medicare-regulations sufficiency-of-evidence Are the Medicare rules, regulations, and policies controlling in a criminal prosecution under 18 U.S.C. § 1347
21-367 Paula Jones v. United States Fifth Circuit 2021-09-08 Denied Response Waived criminal-intent due-process expert-testimony fifth-circuit medicare-fraud medicare-rules prosecutorial-misconduct sufficiency-of-evidence Questions Presented
21-5485 Yamilet Diaz v. United States Eleventh Circuit 2021-08-25 Denied Response WaivedIFP anti-kickback conspiracy criminal-liability due-process federal-health-care government-burden-of-proof intended-victim jury-instructions medicare-fraud Whether jury instructions control the validity of a conviction rather than case law
20-6255 John Dubor v. United States Fifth Circuit 2020-11-09 Denied Response WaivedIFP criminal-procedure due-process fifth-circuit-review loss-calculation medicare-fraud restitution restitution-award sentencing-guidelines Did the Fifth Circuit's cursory review of the district court's record lead to an illegal, unreasonable sentence
20-566 United States, ex rel. Diana Juan v. Stephen Hauser, et al. Ninth Circuit 2020-10-30 Denied Response Waived authority defendant-knowledge failure-to-act medicare medicare-fraud overbilling plausible-claim qui-tam remediation-authority systemic-automated systemic-overbilling Must a Qui Tam Relator in a systemic automated Medicare overbilling case specify more than each Defendant's knowledge that the systemic automated syst…
20-5635 Daniel Thomason Smith v. Warden, FCI Beaumont Fifth Circuit 2020-09-09 Denied Response WaivedRelisted (2)IFP allocution brady-violation conflict-of-interest due-process exculpatory-evidence false-witness identity-theft judicial-misconduct medicare-fraud mens-rea savings-clause Question not identified
19-1407 Mercy O. Ainabe v. United States Fifth Circuit 2020-06-24 Denied Response Waived corporate-entities health-care-claims health-care-fraud loss-calculation medicare medicare-fraud relevant-conduct sentencing-guidelines victim-definition Whether Medicare beneficiaries are 'victims' for purposes of sentencing enhancements
19-6375 Giam Nguyen, Anna Bagoumian, and Donovan Simmons v. United States Fifth Circuit 2019-10-24 Denied Response WaivedIFP compulsory-process deliberate-ignorance due-process harmless-error jury-instructions medicare-fraud reverse-404(b) reverse-404b-evidence Whether the petitioners were deprived of their Fifth Amendment right of due process to present a defense
18-6667 Khaled Elbeblawy v. United States Eleventh Circuit 2018-11-13 Denied Response RequestedResponse WaivedRelisted (2)IFP confession criminal-procedure federal-rules-of-evidence impeachment impeachment-use-waiver medicare-fraud plea-agreement plea-bargaining rule-11 substantive-evidence united-states-v-mezzanatto Does the impeachment-use waiver doctrine established by the Court in United States v. Mezzanatto, 513 U.S. 196, permit the government to introduce in …