In May, California’s attorney general (AG) charged a local dermatologist with more than 20 counts of fraud after uncovering a scheme that allegedly resulted in the state’s Medicaid program paying out over $1.3 million for...more
6/17/2025
/ California ,
Criminal Prosecution ,
Enforcement Actions ,
Health Care Providers ,
Health Insurance ,
Healthcare Fraud ,
Insurance Fraud ,
Medi-Cal ,
Medicaid ,
Physicians ,
State Attorneys General ,
State False Claims Acts ,
White Collar Crimes
On May 8, the Superior Court of Arizona in Maricopa County ordered a health care company to pay more than $30 million in restitution to the Arizona Health Care Cost Containment System (AHCCCS) due to the company’s alleged...more
5/28/2025
/ Arizona ,
Criminal Convictions ,
Criminal Prosecution ,
Enforcement Actions ,
False Billing ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Medicaid ,
Regulatory Violations ,
Restitution ,
Sentencing ,
State Attorneys General
On May 9, Connecticut Attorney General (AG) William Tong, in collaboration with the U.S. Attorney’s Office for the District of Connecticut, announced a $495,721 false claims settlement with Advanced Dental Center PC (Advanced...more
5/23/2025
/ Anti-Kickback Statute ,
Connecticut ,
Dentists ,
False Claims Act (FCA) ,
Government Agencies ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Settlement Agreements ,
State Attorneys General ,
Statutory Violations
The Office of Massachusetts Attorney General (AG) Andrea Campbell announced the criminal indictment of several Massachusetts-based health care providers and their owners in connection with allegedly false claims they...more
4/4/2025
/ Anti-Kickback Statute ,
Criminal Prosecution ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Insurance Claims ,
Kickbacks ,
Medicaid ,
Medicaid Reimbursements ,
Physicians ,
State Attorneys General
On February 4, a Vermont Superior Court judge entered a $2,733,989.47 judgment against Phoenix Counseling & Wellness, PLC (Phoenix), and the company’s owner for alleged violations of the Vermont False Claims Act (VFCA)....more
The U.S. Department of Justice (DOJ) and 18 state attorneys general (AG) announced a settlement with Boston-based QOL Medical, LLC (QOL) and its CEO, Frederick Cooper, to resolve allegations that the company provided unlawful...more
2/13/2025
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Pharmaceutical Industry ,
State Attorneys General ,
Whistleblowers
This month, two attorneys general (AGs) have settled False Claims Act investigations with two separate companies in the health care industry. Both settlements were notable in their own right....more
On October 15, Maryland Attorney General Anthony G. Brown announced that his office reached a $27 million settlement with Precision Toxicology to resolve allegations that it submitted false claims to government health...more
10/25/2024
/ Civil Monetary Penalty ,
Drug Testing ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Kickbacks ,
Medicaid ,
Medicare ,
Physicians ,
Qui Tam ,
Settlement ,
TRICARE
Massachusetts Attorney General (AG) Andrea Joy Campbell announced a $4 million settlement with Next Step Healthcare, LLC (Next Step), a Massachusetts-based long-term care management company, in a deal that the AG described as...more
6/21/2024
/ Employees ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare ,
Healthcare Workers ,
Long Term Care Facilities ,
Medicaid ,
Nursing Homes ,
Public Health ,
Settlement ,
State Attorneys General
North Carolina Attorney General Josh Stein and the U.S. Attorney’s Office for the Middle District of North Carolina have reached a $500,000 settlement with Sharon Raynes Halliday and RAPHA Healthcare Services LLC, resolving a...more