New York is cracking down on medical transport fraud throughout the state. The Inspector General has stated that the medical transportation industry in the state is “plagued with corruption,” and that law enforcement is working to send “a clear message that those who...
Health Care Investigations
Physician faces $5 million fine for prescription and health care fraud
The Department of Justice (DOJ) continues its fight against the opioid crisis in the United States. As part of this fight, Attorney General Jeff Sessions has sent a dozen top federal prosecutors to scour the country for medical professionals that allegedly abuse the...
Nurse takes 3 hospitals to court for False Claims Act violations
A registered nurse has taken three different hospitals to court for False Claims Act violations. The woman is listed as a registered nurse in Texas dating back to 1990. She has also earned a law degree and served in high level management positions in various...
TX hospice exec accused of overdosing patients for profit
The Department of Justice (DOJ) has accused a hospice facility executive of overdosing patients to hasten their death in an attempt to increase profits. The United States Attorney's Office for the Northern District of Texas stated the exec faces a number of criminal...
NY urgent care chain to pay over $6M in False Claims settlement
A group of 88 Urgent Care centers throughout New York agreed to settle a claim with the government for over $6 million dollars. What were the accusations against the medical services provider? The government’s claim involved allegations the medical facility violated...
DEA suspends pharmaceutical company’s registration
The United States Drug Enforcement Administration (DEA) recently suspended the license of a pharmaceutical company amidst allegations of suspicious orders for controlled substances. The DEA stated that the suspension was due to a determination that continued operation...
Healthcare fraud charges – not just for medical professionals
A former football star is facing allegations for healthcare fraud. The government claims the accused illegally used his role as a marketer to bring in potential clients for treatment. Healthcare fraud charges are generally associated with medical professionals....
Treatment battle leads to accusations of criminal activity
Medicare and private insurance companies rarely cover new treatments. Treatment provider Trina Health is currently attempting to navigate this common issue. Trina claims the treatment meets the criteria for a current billing code covered by insurance. As such, the...
HHS completes largest healthcare fraud enforcement in history
The Department of Justice and the United States Department of Health and Human Services (HHS) have made it clear that the government is cracking down on healthcare fraud. To help illustrate this point, the agencies conducted the largest healthcare fraud enforcement...
Medical provider accused of kickbacks, settles for $3M
Two anesthesia providers and two orthopedic surgery providers agreed to settle with the Department of Justice over claims of illegal kickbacks and submission of false claims to Medicare.The investigation into the claims was the result of a whistleblower case. The...

