Mar 12, 2024 | Health Care Fraud, White Collar Crime
Last week, the DOJ announced that Jean Wilson, the owner of two telemedicine companies and two orthotic braces suppliers, had pleaded guilty to conspiracy to commit health care fraud and wire fraud for her role in a $136 million Medicare fraud scheme. According to...
Feb 23, 2024 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid, White Collar Crime
On February 22, the Department of Justice (DOJ) released its annual False Claims Act (FCA) statistics for Fiscal Year 2023. The DOJ’s press release announced the “highest number of settlements and judgments in history,” at 543 total settlements and judgments....
Feb 9, 2024 | DOJ, False Claims Act, Fraud Investigations, Health Care, Health Care Fraud
Recently, as I scrolled through my Google News Alert email for “False Claims Act,” one government press release caught my eye. The title – “National Roofing Company Settles PPP Fraud Allegations for $9 Million” – while certainly noteworthy, was not what interested...
Feb 13, 2023 | False Claims Act
On February 7, 2023, the Department of Justice (DOJ) published its annual False Claims Act (FCA) statistics covering FY2022 recoveries (ending September 30, 2022). And although the data shows a drop-off from 2021 in some key areas, it would be misleading to describe...
Dec 30, 2022 | Health Care, Medicare and Medicaid
In 2014, the Centers for Medicare & Medicaid Services (CMS) published its then-long-awaited final rule implementing and interpreting the “60-day” overpayment rule, which was signed into law by President Obama four years prior as part of the Affordable Care Act. ...