Health Care Investigations

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...

The government has strict regulations when it comes to relationships between hospitals and diagnostics labs. These regulations were recently highlighted when the Department of Justice (DOJ) reached a multi-million-dollar settlement with a diagnostic lab over...

The federal government recently accused an orthopedic surgeon from Texas of False Claims Act violations. The health care fraud crimes the physician face allegedly included illegal kickbacks. More specifically, the Department of Justice (DOJ) accused the specialist of...

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...

Yes, billions. The Department of Justice (DOJ) continues its crackdown on health care fraud violations in part because it results in large payouts. In 2019, the federal agency reports it recovered over $3 billion from settlements and judgements for False Claims Act...

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...

The United States Department of Health and Human Services (HHS) Office of Inspector General (OIG) ensures HHS programs run smoothly. This agency holds those who abuse the program accountable for their wrongdoing by, when necessary, pursuing criminal charges. How does...

The United States Department of Health and Human Services Office of Inspector General (OIG) recently released the findings from a study that focused on the Centers for Medicare and Medicaid Services (CMS) provision of unsupported risk adjustment payments. The OIG...

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...

The United States Department of Justice recently announced criminal charges against an MBA student in connection to a health care fraud scheme. The health care fraud scheme involves allegations a health care technology company falsely inflated data and overbilled...