The Department of Justice (DOJ) recently sent federal agents to raid at least four genetic testing labs to gather evidence in connection with allegations of health care fraud. Why the investigations? The government states investigations were triggered by the...
Health Care Investigations
Feds announce arrest of five New Yorkers for health care fraud
The federal government continues to crackdown on allegations of health care fraud. In recent weeks, five from the New York area have been arrested and charged with health care fraud crimes. Those charged include: Anesthesiologist. The government has accused the...
Diagnostic lab accused of health care fraud in latest DOJ probe
The Department of Justice (DOJ) recently announced charges against diagnostic labs that were allegedly part of a health care fraud scheme involving the use of genetic testing. The agency claims the tests were sold to seniors, with promises the results would provide...
Genetic testing facilities face allegations of health care fraud
The Office of Inspector General with the United States Department of Health and Human Services (HHS) recently released a consumer alert to warn the public about a potential health care fraud scheme. What is the latest warning?The alleged scheme, according to the...
3 lessons after health care exec gets 20 for health care fraud
A United States district judge recently sentenced a health care executive after the government accused him of running an elaborate network that benefited from the use of illegal referrals. According to the indictment, the accused owned and operated skilled nursing...
Court sends psychologist to prison for health care fraud
The United States Attorney’s Office recently charged a psychologist with health care fraud. The prosecution stated the psychologist provided false claims for payment to Medicare and private insurance companies from 2011 through 2018. According to the indictment,...
DOJ charges 30 in “patients for cash” health care fraud scheme
The Department of Justice (DOJ) recently charged 30 in a "patients for cash" health care fraud scheme. According to the indictment, a home health organization illegally paid doctors, nurses, and at least one social worker along with other medical professionals in...
CMS announces increased health care fraud enforcement measures
The United States Centers for Medicare and Medicaid Services (CMS) recently announced a new rule to address health care fraud. The announcement was made in September 2019. The new rule expands the agency’s ability to revoke or deny applications for entry or...
Tips for an effective voluntary health care compliance program
The government requires medical facilities to follow certain rules and regulations. A failure to do so can result in allegations of wrongdoing. One specific area that can cause great harm to a health care facility are allegations of health care fraud. If...
Three lessons from recent rural Texas hospital closings
Over twenty rural Texas hospitals have closed in recent years. The most recent to join this growing number of closures is a hospital that operated in the state since 1949.Why the large number of closures? Hospital executives state the most recent closure is the result...

