Fifth Circuit Judge Questions Constitutionality of the FCA’s Qui Tam Provision -
The Fifth Circuit affirmed the dismissal of a lawsuit brought under the False Claims Act (FCA) by a relator for failure to state a claim and...more
Brothers Convicted in $100 Million HIV Drug Fraud Scheme -
On October 29, a federal jury in Fort Lauderdale, Florida, convicted Maryland brothers Patrick and Charles Boyd of orchestrating a scheme to distribute roughly $100...more
11/4/2025
/ Constitutional Challenges ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare Fraud ,
HIV ,
Pharmaceutical Industry ,
Popular ,
Transgender ,
Whistleblowers ,
Wire Fraud
Private Equity Firm Not Liable for Alleged FCA Retaliation Claims by Former Employee of Portfolio Company -
The District Court for the District of Nebraska addressed whether a private equity owner could be liable as an...more
10/28/2025
/ Criminal Prosecution ,
Employer Liability Issues ,
Employment Litigation ,
False Claims Act (FCA) ,
Money Laundering ,
Popular ,
Portfolio Companies ,
Private Equity ,
Retaliation ,
Whistleblowers ,
White Collar Crimes
DOJ Seizes $15 Billion in Bitcoin in Cryptocurrency Fraud Scheme -
The US Department of Justice (DOJ) unsealed an indictment charging Cambodian national Chen Zhi, founder and chairman of Prince Holding Group, with wire fraud...more
10/21/2025
/ Antitrust Violations ,
Bitcoin ,
Class Action ,
Cryptocurrency ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Insurance Litigation ,
Money Laundering ,
Popular ,
Securities Litigation ,
White Collar Crimes
Fourth Circuit Appeal Challenges Six-Year Sentence in $10 Million Medicaid Fraud Case -
A former physician assistant, Colby Edward Joyner, has asked the US Court of Appeals for the Fourth Circuit to overturn his six-year...more
10/14/2025
/ Appeals ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Department of Justice (DOJ) ,
Healthcare Fraud ,
Loans ,
Medicaid ,
Popular ,
Sentencing ,
UK ,
Wire Fraud
$37 Million FCA Settlement: Semler Scientific and Bard Resolve Medicare False Claims Over FloChec/QuantaFlo -
On September 26, the US Department of Justice (DOJ) announced that Semler Scientific Inc., Bard Peripheral...more
10/7/2025
/ Corporate Integrity Agreement ,
Cybersecurity ,
Department of Defense (DOD) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Medical Devices ,
Medicare ,
Popular ,
Qui Tam ,
Whistleblowers
Remarks by Acting Assistant Attorney General Matthew R. Galeotti Regarding White Collar Enforcement Priorities -
On September 18, at the Global Investigations Review Annual Meeting, Acting Assistant Attorney General...more
Ninth Circuit Restores FCA Case Against Biotronik -
On September 10, the Ninth Circuit reversed a federal district court’s decision dismissing a whistleblower complaint against Biotronik which alleged violations of the...more
Omni Healthcare Ordered to Pay Attorney Fees for Vexatious FCA Litigation -
On September 5, the US District Court for the District of Massachusetts ordered Omni Healthcare, Inc., a Florida-based medical provider, to pay...more
9/16/2025
/ Anti-Kickback Statute ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Investigations ,
Money Laundering ,
Popular ,
Qui Tam ,
Whistleblowers
The Seventh Circuit affirmed the dismissal of a False Claims Act (FCA) retaliation suit against AbbVie Inc. (formerly Allergan) brought by former sales representative Jeffrey Lewis. In the complaint, Lewis alleged he was...more
9/9/2025
/ Appeals ,
Criminal Prosecution ,
Deferred Prosecution Agreements ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Food and Drug Administration (FDA) ,
Fraud ,
Healthcare Fraud ,
Medical Devices ,
Off-Label Promotion ,
Patient Privacy Rights ,
Paycheck Protection Program (PPP) ,
Pharmaceutical Industry ,
Popular ,
Whistleblowers
DOJ Files Brief in Johnson & Johnson’s Appeal of $1.6 Billion FCA Verdict -
On August 27, the US Department of Justice (DOJ) filed a brief with the US Court of Appeals for the Third Circuit, supporting aspects of Johnson &...more
9/3/2025
/ Anti-Kickback Statute ,
Appeals ,
Constitutional Challenges ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Medicaid ,
Pharmaceutical Industry ,
Popular ,
Settlement ,
Whistleblowers
Allied Stone Inc. and Its President Agree to Pay $12.4 Million to Settle FCA Claims Relating to Evaded Customs Duties -
On August 19, Allied Stone Inc., an Oklahoma corporation headquartered in Dallas, Texas, and its...more
Texas Alleges That Eli Lilly Patient Assistance Programs Violates AKS -
The state of Texas and Health Choice Alliance, LLC filed a complaint alleging that pharmaceutical manufacturer Eli Lilly & Company, Inc. violated the...more
Regeneron Court Permits Government to Pursue False Certification Theory -
On August 4, the district court in the closely watched Regeneron case granted the government’s request to file a second partial summary judgment...more
Patio Furniture Firm Pays Millions for Dodging Import Duties -
Grosfillex Inc., a Pennsylvania-based patio furniture company, has agreed to pay $4.9 million to resolve allegations that it violated the False Claims Act...more
8/4/2025
/ Countervailing Duties ,
Customs and Border Protection ,
Cybersecurity ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud ,
Imports ,
International Trade ,
Money Laundering ,
Whistleblowers
Johnson & Johnson Challenges the Constitutionality of FCA $1.6 Billion Verdict -
Following a record $1.6 billion jury verdict for off-label promotion of HIV drugs Prezista and Intelence, Johnson & Johnson (J&J) subsidiary...more
7/28/2025
/ Anti-Kickback Statute ,
Appeals ,
CARES Act ,
Constitutional Challenges ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
Economic Injury Disaster Loans ,
False Claims Act (FCA) ,
First Amendment ,
Jury Verdicts ,
Paycheck Protection Program (PPP) ,
Penalties ,
Pharmaceutical Industry ,
Prescription Drugs ,
Scienter ,
Tax Fraud ,
Whistleblowers
IT Company Resolves FCA Allegations for Nearly $15 Million -
On July 14, the US Department of Justice (DOJ) announced that Hill ASC Inc., an information technology (IT) staffing company, agreed to pay $14.75 million to...more
7/21/2025
/ Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Federal Contractors ,
Government Agencies ,
Investigations ,
Medicare Fraud ,
Money Laundering ,
Qui Tam ,
Settlement ,
Technology Sector ,
White Collar Crimes
Federal Court Imposes Nearly $1 Billion in FCA Damages and Penalties Against Omnicare and CVS -
On July 7, Southern District of New York District Judge Colleen McMahon increased a False Claims Act (FCA) judgment from $136...more
7/14/2025
/ CVS ,
Damages ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare ,
Healthcare Fraud ,
Investigations ,
Medicare ,
Penalties ,
Pharmaceutical Industry ,
Pharmacies ,
Popular ,
Prescription Drugs ,
Securities and Exchange Commission (SEC) ,
Settlement
Earlier this week, the government unsealed an indictment against Leo Joseph Govoni, the co-founder of the nonprofit Center for Special Needs Trust Administration (CSNT), and John Leo Witeck, an accountant for CSNT, charging...more
6/30/2025
/ Criminal Prosecution ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Financial Crimes ,
Fraud ,
Generic Drugs ,
Healthcare Fraud ,
Importers ,
Investigations ,
Medicare Part D ,
Money Laundering ,
Penalties ,
Pharmacy Benefit Manager (PBM) ,
Special Needs Trust ,
Tariffs ,
Trusts ,
White Collar Crimes
On June 6, the US Department of Health and Human Services’ Office of Inspector General (OIG) issued Advisory Opinion No. 25-03, providing important guidance for telehealth organizations and management services organizations...more
6/30/2025
/ Advisory Opinions ,
Anti-Kickback Statute ,
Compliance ,
Contract Terms ,
Department of Health and Human Services (HHS) ,
Documentation ,
Fair Market Value ,
Fees ,
Health Care Providers ,
Medicaid ,
Medicare ,
OIG ,
Professional Corporation ,
Reimbursements ,
Safe Harbors ,
Telehealth ,
Written Agreements
DOJ Criminal Division Head Details White-Collar Enforcement Priorities and Related Policy Revisions -
On June 10, the head of the US Department of Justice’s (DOJ) Criminal Division, Matthew R. Galeotti, gave a speech...more
6/16/2025
/ Corporate Crimes ,
Corporate Governance ,
Criminal Investigations ,
Department of Justice (DOJ) ,
Digital Assets ,
Enforcement Actions ,
Enforcement Priorities ,
False Claims Act (FCA) ,
Foreign Corrupt Practices Act (FCPA) ,
Fraud ,
Investigations ,
Voluntary Disclosure ,
White Collar Crimes
Welcome to the Summer 2025 issue of “FCA Enforcement & Compliance Digest,” our quarterly newsletter in which we compile essential updates on False Claims Act (FCA) enforcement trends, litigation, agency guidance, and...more
CEO of Health Care Software Company Convicted of $1 Billion in Medicare Fraud -
A federal jury in Miami convicted Gary Cox, the CEO of Power Mobility Doctor Rx, LLC, of six health care-fraud-related counts for his role in...more
Two Charged in Alleged $227 Million COVID-19 Test Kit Fraud -
Syed Murtuza Kablazada and Mehdi Hussain, the owners and operators of medical laboratories in Illinois, were charged with submitting more than $227 million in...more
6/2/2025
/ Coronavirus/COVID-19 ,
Criminal Prosecution ,
Cryptocurrency ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Fraud ,
Healthcare ,
Healthcare Fraud ,
Medicare ,
Opioid ,
Physicians ,
White Collar Crimes ,
Wire Fraud
DOJ Plans to Use the FCA to Attack DEI Initiatives -
On May 19, the US Department of Justice (DOJ) announced a novel use of the False Claims Act (FCA) to enforce Trump Administration policies against antisemitism, gender...more
5/27/2025
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
Diversity and Inclusion Standards (D&I) ,
Educational Institutions ,
Enforcement Actions ,
False Claims Act (FCA) ,
Federal Contractors ,
Healthcare Fraud ,
Medicare Fraud ,
Trump Administration ,
Universities