Health Care Investigations

The United States Department of Justice (DOJ) continues its focus on health care fraud investigations involving National Football League (NFL) players. The agency recently announced another round of criminal charges. As discussed in a recent post, the agency indicted...

The United States Department of Justice (DOJ) recently announced it will pursue charges against ten former players for the National Football League (NFL). The government has accused these professional athletes of partaking in a scheme to file false and fraudulent...

The United States Attorney for the Eastern District of Texas recently announced the agency was moving forward with criminal health care fraud charges against a mental health provider.  The government has accused the counselor of fraudulently billing Medicare,...

The United States Department of Health and Human Services (HHS) recently announced it was fining a Texas agency $1.6 million. The HHS fined the agency due to allegations it violated the Health Insurance and Portability Accountability Act of 1996 (HIPAA).  What...

A New York man recently agreed to a plea deal with the government for allegations of health care fraud. According to his plea agreement, the accused requested blank prescriptions from a physician friend. The accused then put in the names of other patients and made...

The Medicare Fraud Strike Force recently announced the arrest of five New Yorkers based on charges of health care fraud. The arrests were part of a larger coordinated health care fraud enforcement action that led to the arrest of 48 individuals throughout the...

Patients who seek services in the health care industry are starting to expect clarity from their providers. Whether seeking a dental cleaning, cancer screening or blood test, patients are more regularly asking about the service they will receive and the likely cost....

It is generally illegal to get benefits in exchange for referring patients to health care providers. A registered nurse care coordinator is experiencing just how serious the government is when it comes to allegations of health care fraud. Allegations of payouts in...

The government has continued its crackdown on health care fraud, as exhibited by the dozens of arrests and criminal charges from the month of September. Examples include:Genetic testing scam. The Department of Justice (DOJ) claims 35 individuals took part in a health...

The Medicare Fraud Strike Force (MFSF) recently concluded an investigation of a New York based ambulatory company. The MFSF is part of a joint initiative between the Department of Justice (DOJ) and the United States Department of Health and Human Services (HHS) tasked...