On May 12, 2025, the U.S. Department of Justice’s Criminal Division unveiled an overhaul of its white-collar enforcement policies in a memo issued by Matthew Galeotti, head of the Criminal Division. The memo, titled “Focus,...more
5/16/2025
/ Corporate Crimes ,
Corporate Governance ,
Corporate Misconduct ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Enforcement Priorities ,
Fraud ,
Government Investigations ,
Healthcare Fraud ,
Investigations ,
Voluntary Disclosure ,
Whistleblowers ,
White Collar Crimes
On April 14, 2025, the United States Court of Appeals for the Seventh Circuit reversed the conviction of the owner of a durable medical equipment (“DME”) distributor, ruling that there was insufficient evidence to support a...more
5/13/2025
/ Anti-Kickback Statute ,
Appeals ,
Criminal Prosecution ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Marketing ,
Medical Devices ,
Medicare ,
Physicians ,
Whistleblowers
In a potential watershed decision issued on February 26, 2025, the United States District Court for the Northern District of Texas ruled, in U.S. ex rel. Taylor v. Healthcare Associates of Texas, that the civil penalties...more
Three appellate courts recently reversed sentences because the government did not adequately present evidence to support the alleged loss calculation underlying the court’s determination of the sentencing guidelines range. In...more
9/12/2023
/ Appellate Courts ,
Controlled Substances ,
Evidence ,
Extrapolation ,
Federal Sentencing Guidelines ,
Government Investigations ,
Healthcare Fraud ,
Prescription Drugs ,
Reimbursements ,
Trade Secrets ,
Wire Fraud
In a continuation of its annual rite, the Department of Justice (“DOJ”) on July 20, 2022, announced healthcare-related criminal charges against 36 defendants in 13 federal districts around the U.S. The charges allege more...more
AGG’s Government Investigations Team Insights provides periodic updates covering legal and regulatory topics.
In this edition, we analyze a recent Eleventh Circuit decision addressing False Claims Act penalties and the...more
2/28/2022
/ Anti-Kickback Statute ,
CARES Act ,
Coronavirus/COVID-19 ,
Discount Pricing ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud ,
Government Investigations ,
Healthcare ,
Healthcare Fraud ,
Infectious Diseases ,
OIG ,
Paycheck Protection Program (PPP)
Since April 2020, through the CARES Act, the government has provided billions of dollars in emergency financial assistance to Americans suffering from the economic effects caused by the COVID-19 pandemic, including through...more
2/15/2022
/ Bank Fraud ,
CARES Act ,
Coronavirus/COVID-19 ,
Federal Loans ,
Financial Fraud ,
Healthcare Fraud ,
Infectious Diseases ,
Kickbacks ,
Loan Applications ,
Paycheck Protection Program (PPP) ,
Popular ,
Relief Measures ,
SBA Lending Programs ,
Small Business ,
Wire Fraud
In late December, the U.S. Circuit Court of Appeals for the Eleventh Circuit issued its decision in Yates v. Pinellas Hematology & Oncology, P.A. The appellate court affirmed the district court’s imposition of damages and...more
2/2/2022
/ Appeals ,
Centers for Medicare & Medicaid Services (CMS) ,
Certification Requirements ,
CLIA ,
Clinical Laboratory Testing ,
Damages ,
Eighth Amendment ,
Excessive Fines Clause ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Penalties ,
Reimbursements ,
Statutory Violations
On October 28, 2019, the Department of Justice announced a $20.25 million settlement of False Claims Act (FCA) allegations. ...more
The False Claims Act (the “Act”) imposes liability on those who “’knowingly’ present, or cause to be presented, ‘a false or fraudulent claim for payment or approval’” to the government. Persons who act in “deliberate...more
7/22/2015
/ Department of Justice (DOJ) ,
False Claims Act (FCA) ,
FERA ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
HEAT ,
Legal History ,
Materiality ,
Medicaid ,
Medicare ,
Strategic Enforcement Plan