Health Care Investigations

The United States Department of Justice (DOJ) recently announced the recovery of over $3 billion in False Claims Act (FCA) violations for health care fraud cases last year. Although this seems like a large number, it is in line with previous years. In fact, this is...

Just a few weeks ago, the United States Centers for Medicare and Medicaid Service (CMS) announced it would allow certain health care providers to receive funds to help maintain financial footing during the coronavirus pandemic. To achieve this goal, the agency...

In 2018, Congress enacted the Eliminating Kickbacks in Recover Act (EKRA). This law remains relatively untested. As such, labs can learn valuable lessons by watching court cases that are navigating this law.What led to the first EKRA conviction? The United States...

As noted in a previous post, CMS changes tactics, targets health care provider affiliates, the Centers for Medicare and Medicaid Services (CMS) has a new tool in its fight against health care fraud. The tool allows the agency to go after those who affiliate with...

New York officials recently accused a local pharmacy owner of partaking in a health care fraud scheme that allegedly led to $2 billion in fraudulent claims to Medicare and Medicaid. According to the indictment, the government moved forward with criminal charges...

The case against Theranos continues. Questions about the company, based in the health care industry and set to “revolutionize medical laboratory testing” with innovative blood draw and testing methods, began in 2015. Ultimately, investigations resulted in...

Since 2010, the United States Department of Justice has continually increased its focus on health care fraud crimes. Due to this focus, prosecution against those the agency accuses of false billing, illegal kickbacks and other forms of healthcare fraud has steadily...

Getting a high-level job in the medical world can be difficult. Applicants must have the training and experience to qualify for the position as well as go through the interview process. Once a candidate is offered the job, they may be surprised to find out lawmakers...

The prosecution's case against Dr. Jorge Zamora-Quezada continues to provide learning opportunities for medical professionals throughout the country. In the most recent development, the government agreed to the acquittal of one of Dr. Zamora-Quezada's employees. A...

Those who face allegations of health care fraud can find themselves fighting an uphill battle. The government can gather evidence and witnesses to testify against you, but defensive strategies are available to help you defend your professional reputation. One strategy...