Sep 16, 2021 | Health Care
On September 7, the Department of Justice announced that Clinton Portis and two other former NFL players had pled guilty to defrauding a health care program set up by the NFL to benefit former players. This announcement came after a trial resulted in a hung jury and...
Sep 7, 2021 | False Claims Act
On August 30, 2021, the Department of Justice announced that it had reached a $90 million settlement with Sutter Health and its affiliates to resolve allegations that Sutter Health had overcharged the Medicare Advantage Program. The government alleged that Sutter...
Sep 7, 2021 | SEC Investigations
On August 18, the SEC announced that it had charged three former Netflix Inc. software engineers and two close associates with insider trading. The SEC alleges that the group realized over $3 million in profit by trading on material non-public information concerning...
Sep 7, 2021 | Fraud Investigations
Despite the COVID-19 pandemic and the government’s increased focus on CARES Act relief fund fraud, the government continues to investigate and enforce healthcare fraud unrelated to the COVID-19 pandemic. A recent indictment demonstrates the government’s continued...
Sep 7, 2021 | Fraud Investigations
For years, the knowledge and discussion of potential uses and benefits of medical treatments based on human amniotic tissue and fluids were limited to the healthcare community. However, the potential benefits of such treatments have moved to the forefront of public...
Aug 24, 2021 | False Claims Act
The DOJ announced it reached a settlement with Arriva Medical, LLC (“Arriva”) and its parent company Alere Inc. (“Alere”) to resolve allegations that the companies violated the Anti-Kickback Statute and the False Claims Act (“FCA”). Arriva, formed in 2009, was at...
Aug 24, 2021 | Government Investigations
In January 2021, Chilivis Grubman attorneys discussed government enforcement actions related to COVID-19 relief funds and particularly, a guilty plea by Austin Hsu in a large scheme to defraud several COVID-19 relief fund programs. As discussed in January, Mr. Hsu...
Aug 24, 2021 | COVID-19 Related Law, Employment Law, Health Care
On August 13, 2021, the U.S. Occupational Safety and Health Administration (OSHA) issued updated COVID-19 guidance for employers with vaccinated, unvaccinated, and otherwise at-risk employees. OSHA had previously released guidance on June 10, 2021, which focused...
Aug 24, 2021 | Fraud Investigations
On August 10, 2021, the U.S. Department of Justice (“DOJ”) announced that Creaghan Harry, of Florida, was charged for his alleged participation in a scheme that involved submitting over $784 million in false and fraudulent claims to Medicare. This is one of the...
Aug 24, 2021 | Health Care
In June, the Centers for Medicare & Medicaid Services (“CMS”) issued a new advisory opinion on whether a physician practice may qualify as a “group practice” for purposes of the federal physician self-referral law (1877(h)(4) of the Social Security Act and 42...
