Biomedical Company Avoids DOJ Prosecution After First Ever Voluntary Corporate Self-Disclosure of Fraud Under NSD Enforcement Policy -
On May 22, the US Department of Justice (DOJ) announced that it will not prosecute a...more
5/28/2024
/ Biomedical Companies ,
Criminal Conspiracy ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement ,
Enforcement Actions ,
Fraud ,
Healthcare Fraud ,
Medicare ,
National Security ,
Self-Disclosure Requirements ,
Voluntary Disclosure
Former Healthcare Executives Convicted for Health Insurance Policy Fraud Scheme -
Steven Dorfman, the former chief executive officer and owner of the Florida-based healthcare company Simple Health, and John Sand, a former...more
2/19/2024
/ Anti-Kickback Statute ,
CARES Act ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
False Billing ,
False Claims Act (FCA) ,
Fraud ,
Healthcare Fraud ,
Insurance Fraud ,
Mail Fraud ,
Medical Equipment ,
Medicare ,
Paycheck Protection Program (PPP) ,
Scams ,
Sentencing ,
TRICARE ,
Wire Fraud
Two Individuals Indicted for Operating $25 Million Crypto-Fraud -
On December 11, a federal court in California unsealed a superseding indictment, which charged two men with operating a $25 million cryptocurrency fraud...more
12/18/2023
/ Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Cryptocurrency ,
Department of Justice (DOJ) ,
Food and Drug Administration (FDA) ,
Fraud ,
Indictments ,
Medicaid ,
Medicare ,
Money Laundering ,
Securities Fraud ,
Wire Fraud
FTX Founder’s Fraud Trial Continues in Manhattan Court -
The criminal trial of Sam Bankman-Fried continued this week in Manhattan where the FTX founder faces several charges, including fraud, conspiracy, and money...more
DOJ Enters Into DPAs with Former Deerfield Traders and CMS Consultant -
On July 24, 2023, the US Department of Justice (DOJ) entered into deferred prosecution agreements with Theodore Huber and Robert Olan, former traders...more
7/31/2023
/ Centers for Medicare & Medicaid Services (CMS) ,
Clinical Laboratory Testing ,
Conflicts of Interest ,
Criminal Conspiracy ,
Criminal Convictions ,
Deferred Prosecution Agreements ,
Department of Justice (DOJ) ,
Insider Trading ,
Investment Adviser ,
Kelly v United States ,
Kickbacks ,
Physicians ,
SCOTUS ,
Securities and Exchange Commission (SEC) ,
Settlement ,
Special Purpose Acquisition Companies (SPACs)
Court Unseals Charges Alleging Nearly $15 Million in Fraudulent PPP Loans -
Earlier this week, federal prosecutors in the Southern District of New York announced the unsealing of a criminal complaint charging six...more
6/12/2023
/ Criminal Conspiracy ,
False Claims Act (FCA) ,
Falsified Documents ,
Financial Institutions ,
Fraud ,
IRS ,
Kickbacks ,
Medicaid ,
Medicare ,
Paycheck Protection Program (PPP) ,
SCOTUS ,
Sentencing ,
Tax Returns ,
US ex rel Tracy Schutte et al v SuperValu Inc et al ,
Wire Fraud
EmpiresX Head Trader Pleads Guilty to $100M Cryptocurrency Investment Fraud Scheme -
On September 8, 2022, the “Head Trader” for EmpiresX, a purported cryptocurrency platform, pled guilty to one count of conspiracy to...more
9/16/2022
/ Bid Rigging ,
Criminal Conspiracy ,
Cryptocurrency ,
Fraud ,
Investment Fraud ,
Mail Fraud ,
Misrepresentation ,
Securities and Exchange Commission (SEC) ,
Securities Fraud ,
Sherman Act ,
Theranos ,
Wire Fraud
Khadijah Chapman of Georgia, Daniel Labrum of Utah, and Eric O’Neil of Connecticut were all charged in separate indictments with submitting fraudulent Paycheck Protection Program (PPP) loan applications. According to the DOJ,...more
8/15/2022
/ Anti-Money Laundering ,
Bank Fraud ,
Bank Secrecy Act ,
BSA/AML ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Criminal Convictions ,
Crypto Exchanges ,
Department of Justice (DOJ) ,
Healthcare Fraud ,
Indictments ,
Paycheck Protection Program (PPP) ,
Wire Fraud
On July 20, 2022, the Justice Department announced that it brought criminal charges against 36 defendants in 13 federal districts across the country, charging more than $1.2 billion in alleged telemedicine, cardiovascular and...more
7/25/2022
/ Bank Fraud ,
CARES Act ,
Criminal Conspiracy ,
Criminal Convictions ,
Criminal Investigations ,
Department of Justice (DOJ) ,
Durable Medical Equipment ,
Fraud ,
International Banks ,
Kickbacks ,
Medicare ,
Paycheck Protection Program (PPP) ,
Telemedicine ,
Ukraine
Ramesh “Sunny” Balwani, Former Theranos President and COO, Found Guilty on All Twelve Fraud Counts in High-Profile Trial -
On July 7, 2022, a federal jury in the Northern District of California found Ramesh “Sunny”...more
7/11/2022
/ Administrative Law Judge (ALJ) ,
Appeals ,
Corruption ,
Criminal Conspiracy ,
Criminal Convictions ,
Cyber Crimes ,
Cybersecurity ,
Department of Justice (DOJ) ,
En Banc Review ,
Enforcement ,
False Claims Act (FCA) ,
Fraud ,
Kickbacks ,
Securities and Exchange Commission (SEC) ,
Settlement ,
Theranos ,
Unconstitutional Condition ,
Wire Fraud
Four Indicted for $16 Million Money Laundering Scheme -
On March 23, 2022, an indictment was unsealed in the Western District of Arkansas, charging four men for their involvement in wire fraud and money laundering schemes...more
3/28/2022
/ Anti-Money Laundering ,
CARES Act ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Department of Justice (DOJ) ,
Economic Injury Disaster Loans ,
False Claims Act (FCA) ,
Indictments ,
Investment Fraud ,
Money Laundering ,
SBA ,
UPS ,
USPS ,
Visa Fraud ,
Wire Fraud
Millennial Couple Faces Twenty Years in Prison for Largest DOJ Bitcoin Seizure in History -
On February 7, 2022, authorities arrested a husband and wife in their 30s, Ilya Lichtenstein and Heather Morgan, accused of...more
2/11/2022
/ Asset Seizure ,
Bitcoin ,
Criminal Conspiracy ,
Criminal Convictions ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Federal Trade Commission (FTC) ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Money Laundering ,
Non-Fungible Tokens (NFTs) ,
Terrorist Financing ,
U.S. Treasury ,
Wire Fraud
4th Circuit Affirms Dismissal of FCA Medicaid Suit Against Allergan -
On January 25, 2022, a majority of the Fourth Circuit panel affirmed the dismissal of a relator's False Claims Act complaint against Allergan Sales LLC,...more
1/31/2022
/ Allergan Inc ,
Criminal Conspiracy ,
Criminal Convictions ,
False Claims Act (FCA) ,
Fraud ,
Kickbacks ,
Mail Fraud ,
Medicaid ,
Pharmacist ,
Sentencing ,
TRICARE
Fraud Scheme Results in $56 Million Seized as Largest Recovery of Cryptocurrency by US -
On November 12, 2021, the U.S. Department of Justice and U.S. Attorney’s Office for the Southern District of California’s request was...more
11/19/2021
/ Bank Fraud ,
Bribery ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Criminal Investigations ,
Cryptocurrency ,
Department of Justice (DOJ) ,
Economic Injury Disaster Loans ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud ,
Investors ,
Paycheck Protection Program (PPP) ,
SBA ,
Small Business ,
US State Departments ,
Visas ,
Wire Fraud
Court Reinstates Life Insurance Company's Fraud Claims Over Defunct Laboratory -
A New Jersey state appeals court reinstated Aetna Life Insurance Company’s (Aetna) fraud claims against the minority owners of the now defunct...more
10/18/2021
/ Aetna ,
Bribery ,
Criminal Conspiracy ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud ,
Hemp Related Businesses ,
Insurance Fraud ,
Kickbacks ,
Life Insurance ,
Popular ,
Securities and Exchange Commission (SEC) ,
UFTA
In a unanimous opinion, the DC Circuit reversed a successful challenge brought by UnitedHealth (United) and other Medicare Advantage insurers to vacate a Medicare Advantage Overpayment Rule. The Overpayment Rule requires that...more
According to court documents, the defendant admitted to, among other things, distributing unnecessary compound prescriptions by adjusting prescriptions and paying recruiters commissions for procuring prescriptions for...more
7/26/2021
/ Criminal Conspiracy ,
Cybersecurity ,
Drug Compounding ,
Foreign Corporations ,
Hackers ,
Healthcare Fraud ,
Kickbacks ,
Malware ,
SBA ,
Trade Secrets ,
TRICARE
After an eight-day trial, a federal jury convicted four California residents for their scheme to submit fraudulent loan applications seeking millions of dollars in the Paycheck Protection Program (PPP) and Economic Injury...more
7/2/2021
/ Anti-Kickback Statute ,
Bank Fraud ,
Consent Order ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Criminal Convictions ,
Deferred Prosecution Agreements ,
Deutsche Bank ,
Economic Injury Disaster Loans ,
False Claims Act (FCA) ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud ,
Money Laundering ,
Paycheck Protection Program (PPP) ,
Popular ,
Relief Measures ,
SBA ,
Securities and Exchange Commission (SEC) ,
Spoofing ,
Wire Fraud
Pharmacy Owner and Accountant Indicted in $134m Health Care Fraud Scheme -
Mohamed Mokbel and Fathy Elsafty, of Houston, Texas, were arrested on charges of money laundering, health care fraud, and conspiracy to commit...more
HHS Announces Final Rules Amending Stark Law Regulations and Anti-Kickback Statute -
On November 20, 2020, the Centers for Medicare and Medicaid Services and the Department of Health and Human Services (HHS) published...more
12/7/2020
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
DEA ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Federal Food Drug and Cosmetic Act (FFDCA) ,
Final Rules ,
Fraud ,
Health Care Providers ,
Inflated Projections ,
Medicaid ,
Medicare ,
Opioid ,
Physician Medicare Reimbursements ,
Purdue Pharma ,
Securities Fraud ,
Stark Law ,
Value-Based Care
Seven Individuals Charged in $16 Million COVID-Relief Fraud Scheme -
In an indictment unsealed on November 17, seven individuals were charged with conspiracy to commit wire fraud and wire fraud for allegedly submitting at...more
Investment Bank Fined $400 Million For Failing to Remediate Deficiencies in its Risk Management Systems -
On October 7, the Federal Reserve Board and Office of the Comptroller of the Currency issued a consent order...more
10/9/2020
/ Bank Fraud ,
CARES Act ,
Citigroup ,
Consent Order ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Durable Medical Equipment ,
False Statements ,
Federal Reserve ,
Fraud ,
Investment Banks ,
Kickbacks ,
Loan Applications ,
Mail Fraud ,
Medicare Fraud ,
Patient Privacy Rights ,
Paycheck Protection Program (PPP) ,
Pennsylvania ,
Remediation ,
Risk Management ,
Wire Fraud
Engineering Firm Settles $37 Million False Claims Act Allegations -
As part of a settlement agreement with the Department of Justice, QuantaDyn Corporation has agreed to pay $37,757,713.91 in restitution to resolve...more
9/21/2020
/ Bribery ,
Criminal Conspiracy ,
Department of Defense (DOD) ,
Department of Justice (DOJ) ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
False Claims Act (FCA) ,
Fraud ,
Healthcare Fraud ,
Investment Fraud ,
Jury Trial ,
Kickbacks ,
National Institute of Health (NIH) ,
Patient Referrals ,
Settlement Agreements ,
Wire Fraud
NY Investment Firm to Pay $35 Million to Resolve Fraud Allegations -
New York-based investment firm International Investment Group LLC (IIG) agreed to pay the Securities and Exchange Commission (SEC) over $35 million to...more
Michigan Physician Charged in Health Care Fraud and Money Laundering Conspiracy -
On February 26, 2020, the Department of Justice announced charges against a Michigan physician for his alleged role in an over $120 million...more
3/2/2020
/ Criminal Conspiracy ,
Criminal Investigations ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare Fraud ,
Money Laundering ,
Physicians