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The Texas Medical Board disciplined eighty physicians in June. The group stated the violations included issues with quality of care, unprofessional conduct, nontherapeutic prescribing, inadequate medical records and impairment infractions. The violations resulted in...
The government recently accused three physicians out of Long Island for taking part in a health care fraud scheme that cost the Medicare and Medicaid program approximately $163 million in fraudulent charges. The physicians were investigated by many government...
The government recently accused the founder of a pharmaceutical company for illegally conspiring to provide kickbacks to physicians who prescribe the company's medications. The accusations led to the arrest of the entrepreneur. The government based the arrest on...
The government has increased its pursuit of hospice fraud cases throughout the country. Recent examples include a group that agreed to pay $2.5 million to settle a case involving allegation of False Claims Act (FCA) violations, another $1.2 million and still a third...
The Department of Justice (DOJ) recently announced a settlement between the government and a family of integrated hospitals and health care providers that operate in New York. The settlement includes an agreement to pay the State of New York $895,427 and an additional...
As noted in the previous piece, Government and health-care fraud, Part 1: Why the crackdown?, the United States government has stepped up its efforts to prosecute those who are accused of health-care fraud. The main motivation for these efforts is money. The...
Estimates of losses due to healthcare fraud crimes range from $20 to $105 billion. As noted in a publication by the National Association of Criminal Defense Lawyers, these high financial stakes have translated to federal and state prosecutors giving priority to...
The United States Government, along with state governments, have made it clear that they plan to crackdown on health-care fraud. The reasons behind this focus were recently discussed in two reports.The first report, “Health Care Fraud and Abuse Control Program...
The United States Department of Justice (DOJ) recently accused a general surgeon out of Texas of partaking in a scheme to defraud government insurance agencies. According to the allegations, the physician is one of three doctors and 13 others allegedly responsible for...
The Department of Justice (DOJ) recently announced the arrest of hundreds of individuals in the "biggest healthcare fraud take-down in history." The DOJ arrested 601 people from 58 different federal districts for filing $2 billion in false claims. The DOJ stated two...