Florida Doctor Charged in $681 Million Fraud Scheme Involving Substance Abuse Treatment -
On July 30, 2020, a criminal complaint was unsealed charging Michael J. Ligotti, D.O., with conspiracy to commit health care fraud...more
8/10/2020
/ Drug Treatment ,
False Claims Act (FCA) ,
Healthcare Fraud ,
Individual Retirement Account (IRA) ,
Kickbacks ,
Medicare ,
Paycheck Protection Program (PPP) ,
Securities and Exchange Commission (SEC) ,
Substance Abuse ,
Whistleblowers ,
Wire Fraud
DME Provider to Plead Guilty to $109 Million Medicare Fraud Scheme -
A Florida-based individual was charged with one count of health care fraud and one count of payment of kickbacks in connection with a federal health care...more
8/3/2020
/ Durable Medical Equipment ,
Identity Theft ,
Kickbacks ,
Market Manipulation ,
Medicaid ,
Medicare ,
Medicare Fraud ,
NFL ,
Popular ,
Shell Corporations ,
Whistleblowers
Drug Testing Lab Pays Nearly $12 Million to Settle False Claims Act Allegations -
On July 20, 2020, the Department of Justice (DOJ) announced a civil settlement with Sterling Healthcare Opco, LLC d/b/a Cordant Health...more
7/27/2020
/ Anti-Fraud Provisions ,
Anti-Kickback Statute ,
Corporate Integrity Agreement ,
Department of Justice (DOJ) ,
Drug Testing ,
False Claims Act (FCA) ,
Fraud ,
Inspector General ,
Kickbacks ,
Medicare ,
Securities and Exchange Commission (SEC) ,
TRICARE
COVID Relief Program Fraud Charges -
DOJ continues to announce charges against defendants accused of fraud in connection with allegedly false loan applications submitted under the Paycheck Protection Program (PPP)...more
7/20/2020
/ Bank Fraud ,
CARES Act ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
False Statements ,
Fraud ,
Healthcare Fraud ,
Kickbacks ,
Loan Applications ,
Medicaid ,
Medicare ,
Paycheck Protection Program (PPP) ,
SBA ,
Skilled Nursing Facility ,
Tax Returns ,
TRICARE ,
Wire Fraud
DOJ Announces $72.3 Million False Claims Act Settlement -
Oklahoma Center for Orthopaedic and Multi-Specialty Surgery, its part-owner and management company, a physician group, and other affiliated entities and individuals...more
Ten Individuals Charged for $1.4 Billion Health Care Billing Schemem -
On June 29, an indictment was unsealed charging ten individuals with health care fraud and wire fraud for allegedly participating in a pass-through...more
7/6/2020
/ Audits ,
CARES Act ,
Coronavirus/COVID-19 ,
Healthcare ,
Healthcare Fraud ,
Indictments ,
Kickbacks ,
Medicare ,
Money Laundering ,
Rural Health Care Providers ,
SCOTUS ,
Skilled Nursing Facility ,
Universal Health Services Inc v United States ex rel Escobar ,
Whistleblowers ,
Wire Fraud
SBA and Department of Treasury Announce Disclosure of PPP Recipients -
After weeks of mounting public and congressional pressure, on Friday, June 19, the SBA and Department of Treasury announced that it will make...more
6/26/2020
/ Department of Justice (DOJ) ,
Disclosure ,
Financial Institutions ,
Food and Drug Administration (FDA) ,
Fraud ,
Kickbacks ,
NAICS ,
Paycheck Protection Program (PPP) ,
Prescription Drugs ,
SBA ,
TRICARE ,
U.S. Treasury ,
Wire Fraud
Business Owner Charged with Fraud Connected to the Paycheck Protection Program -
On June 15, 2020, the owner of several information technology companies was charged in a criminal complaint with bank fraud and for making...more
6/22/2020
/ Business Ownership ,
CARES Act ,
False Claims Act (FCA) ,
Financial Institutions ,
Fraud ,
Healthcare ,
IRS ,
Kickbacks ,
Loan Applications ,
Medicare ,
Paycheck Protection Program (PPP) ,
SBA ,
TRICARE
Medical Technology Company President Charged in $69 Million COVID-19 Testing Fraud Scheme -
A complaint in the Northern District of California was unsealed on June 9, 2020, charging the president of Arrayit Corporation, a...more
6/15/2020
/ Alaska Native Claims Settlement Act (ANCSA) ,
Coronavirus/COVID-19 ,
Department of Defense (DOD) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Fraud ,
General Services Administration (GSA) ,
Kickbacks ,
Medicare ,
Pharmacies ,
Probation ,
Securities Fraud ,
South Korea ,
TRICARE ,
US Army Corps of Engineers ,
Virus Testing ,
Wire Fraud
Nonprofit Hospital System and Physician Practice Reach $10 Million Settlement for False Claims Act Allegations -
Centra Health Inc., a nonprofit hospital system, and Blue Ridge Ear, Nose, Throat and Plastic Surgery, Inc.,...more
4/27/2020
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Kickbacks ,
Maryland ,
Medicaid ,
New York ,
Patient Referrals ,
Qui Tam ,
Relators ,
Stark Law ,
State and Local Government ,
Tax Fraud ,
Whistleblower Awards ,
Whistleblowers
In the DOJ’s first-ever criminal action against an electronic health records vendor, San Francisco-based Practice Fusion Inc. agreed to pay $145 million to resolve allegations that it received kickbacks from pharmaceutical...more
2/3/2020
/ Anti-Kickback Statute ,
Criminal Penalties ,
Deferred Prosecution Agreements ,
Department of Justice (DOJ) ,
Electronic Medical Records ,
False Billing ,
False Claims Act (FCA) ,
Health Care Providers ,
Health Information Technologies ,
Healthcare Fraud ,
Investigations ,
Kickbacks ,
Opioid ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Qui Tam ,
Software ,
Whistleblowers
Kickback Allegations Settled for $20.25 Million -
Sanford Health, Sanford Medical Center, and Sanford Clinic (collectively, Sanford), a South Dakota health system, will pay $20.25 million to settle allegations that they...more
Former Drugstore Executive Receives Two-Year Sentence, Ordered to Pay $6.3 Million for Kickback Scheme -
A Pennsylvania federal judge sentenced a former Rite-Aid advertising executive to two-years imprisonment and ordered...more
10/29/2019
/ Criminal Convictions ,
Criminal Prosecution ,
False Claims Act (FCA) ,
HUBZone ,
Indictments ,
Insider Trading ,
JPMorgan Chase ,
Kickbacks ,
Market Manipulation ,
Rare Earth Metals ,
Restitution ,
Rite Aid ,
SBA ,
Securities and Exchange Commission (SEC) ,
State Contractors ,
Wire Fraud
DOJ Issues Guidance on Ability-to-Pay in False Claims Act Cases -
On October 8, 2019, Assistant Attorney General Brian Benczkowski announced new guidance for federal prosecutors evaluating whether a corporation is unable...more
10/21/2019
/ Corporate Criminal Fines ,
Corporate Misconduct ,
Criminal Investigations ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Federal Sentencing Guidelines ,
Healthcare Facilities ,
Healthcare Fraud ,
Kickbacks ,
Medicare ,
New Guidance ,
Prescription Drugs
Genetic Testing Company and Three Principals Settle FCA Allegations for $42.6 Million -
On October 9, 2019, New Orleans-based laboratory company UTC Laboratories Inc. (RenRX) agreed to pay $41.6 million, and its three...more
34 Individuals Charged in $258 Million Medicare and Medicaid Fraud Schemes -
Twenty-six individuals in the state of California, fourteen of whom were doctors or medical professionals, and eight individuals in Arizona and...more
9/23/2019
/ Anti-Kickback Statute ,
Controlled Substances ,
Criminal Conspiracy ,
Criminal Convictions ,
Criminal Prosecution ,
False Claims Act (FCA) ,
Fraud ,
Healthcare Facilities ,
Hospitals ,
Kickbacks ,
Medicaid ,
Medicare ,
Pharmacies ,
Prescription Drugs ,
Private Equity Firms ,
Stark Law
NY Ambulette Owners Plead Guilty to $8.6 Million Health Care Kickback Scheme -
On September 5, the Department of Justice announced that two New York ambulette owners pleaded guilty to one count of conspiracy to offer and...more
9/13/2019
/ Anti-Kickback Statute ,
Deferred Prosecution Agreements ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Guilty Pleas ,
Insider Trading ,
Kickbacks ,
Medicare ,
Securities and Exchange Commission (SEC) ,
Whistleblowers
Medical Device Exec Sentenced to 42 Months in Prison for $4.6 Million Kickback Scheme, Co-Conspirator Awaits Sentencing -
On August 29, the Department of Justice announced that a Tennessee health care executive, Brenda...more
9/9/2019
/ Anti-Kickback Statute ,
Bribery ,
Criminal Conspiracy ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Federal Contractors ,
Healthcare Fraud ,
Kickbacks ,
Medical Devices ,
Medicare ,
Pharmacies ,
Prison ,
SBA ,
TRICARE