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)'s heightened pleading standard requires False Claims Act plaintiffs who plead a fraudulent billing scheme… | |
| 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 | This case is one of more than a dozen Medicare fraud cases among varous circuits where physicians, like Dr. Ramirez, were convicted under multiple err… |
| 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 | Litigants may not weaponize the judicial system to sanction colorable arguments that in effect insulate its conduct from legitimate judicial challenge… |
| 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 | 1. Medicare reimburses healthcare providers who provide home-health services to qualifying Medicare patients. Congress requires a physician to certify… |
| 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 | Petitioners Michael Jones hereby adopts the Petitions for Writ of Certiorari filed by Dr. Henry Evans and Dr. Shelton Barnes and the Questions Present… |
| 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 | Petitioner Paula Jones hereby adopts the Petitions for Writ of Certiorari filed by Dr. Henry Evans and Dr. Shelton Barnes and the 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 | I. Whether jury instructions, which require that the government prove a defendant knew the crimes were against the United States and involved a federa… |
| 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. Because the application of the senten… |
| 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 | 1. Is it appropriate to convict me, Daniel Thomason Smith, when I was NEVER allowed to testify for what I had knowledge of and/or did not have knowl… |
| 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 | (1) Whether the Medicare beneficiaries whose health care treatments form the basis of fraudulent Medicare claims fit the definition of "victims" for p… |
| 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 | 1. Whether the Petitioners were deprived of their Fifth Amendment right of Due Process to present a defense by the District Court's exclusion of the r… |
| 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, for plea-related discussions permit th… |