Health Care Investigations

The state of Texas is continuing its crackdown on healthcare fraud through 2026. Earlier in the year, Attorney General Ken Paxton announced over 180 indictments for healthcare fraud in 2025 and a focus on continuing the efforts through 2026. Three important things for...

Healthcare fraud investigations rarely start with a dramatic raid. They usually begin with billing or referral patterns that make someone look twice. If you run a practice, manage billing or oversee operations, you need to know which behaviors tend to attract...

Receiving a notice of investigation from the Texas Medical Board (TMB) is a high-stakes moment for any physician. While the initial letter may feel like a simple request for information, it is the start of a complex legal process that puts your professional license at...

“Today’s sentence is not just a punishment — it’s a warning.” Matthew R. Galeotti, Head of the Justice Department’s Criminal Division made this statement in regard to a recent healthcare fraud case. The statement was directed to physicians throughout the country, and...

Allegations of healthcare fraud can have serious consequences. Physicians and nurses can face a threat to their professional licensure as well as potential criminal penalties. Anyone that finds themselves facing allegations of healthcare fraud will likely have many...

Mergers and acquisitions are common and often fruitful strategies for growth and expansion in the healthcare arena. However, these deals can attract scrutiny from regulatory bodies concerned about potential monopolistic practices. It is important for leaders in the...

Medical practices require physicians to care for patients while also managing basic business operations. This dual role requires a need to balance patient care with administrative responsibilities, such as managing finances, overseeing staff, and ensuring compliance...

Healthcare fraud poses a significant threat to healthcare systems, escalating costs for all stakeholders. Recognizing signs of potential fraud not only helps to protect the organization’s bottom line, but it also reduces the risk of allegations of failing to comply...

In recent years, Texas has intensified its efforts to combat healthcare fraud and false billing practices. These illegal activities not only drain valuable resources but also compromise the integrity of healthcare services provided to the public. The need for proper...

In an earlier post we discussed tips to prevent allegations of healthcare fraud, available here. Although helpful to incorporate proactive measures to reduce the risk of allegations of a violation, it is also important to know some basic strategies to consider if ever...