Apr 2, 2025 | Health Care, Health Care Fraud, Healthcare Transactions
A federal judge recently dismissed a lawsuit against Wells Fargo filed by a group of former employees who accused the bank of violating its fiduciary responsibilities by allowing its pharmacy benefit manager (PBM), Express Scripts, to overcharge for prescription...
Apr 1, 2025 | False Claims Act
On March 28, the Department of Justice (DOJ) announced that Diopsys Inc., a medical device company based in Middletown, Pennsylvania, agreed to pay up to $14.25 million to resolve allegations that it caused healthcare providers to submit claims for reimbursement to...
Apr 1, 2025 | Land Use Law, Land Zoning Law
As reported by Sustain Atlanta, MARTA has revised its funding plan for transit projects funded by the $2.7 billion transit sales tax approved by Atlanta voters in 2016. The initial plan, released in May, allocated $370 million for 7 miles of light rail** along the...
Mar 31, 2025 | False Claims Act
The DOJ announced that Diopsys Inc., a medical device company based in Middletown, Pennsylvania, has agreed to pay up to $14.25 million to resolve allegations of violating the Federal False Claims Act and various state laws. According to the government, Diopsys...
Mar 30, 2025 | False Claims Act, Health Care, Health Care Fraud
The Eighth Amendment to the United States Constitution guarantees the “freedom from excessive fines.” In 2018, the late Justice Ruth Bader Ginsberg held that this safeguard is “fundamental to our scheme of ordered liberty.” Timbs v. Indiana. And yet, it is not...
Mar 28, 2025 | Health Care Fraud
The DOJ announced that a federal jury recently convicted Dr. José Alzadon of Paintsville, Kentucky; Michael Bregenzer of Richmond, Texas; and Barbie Vanhoose of West Van Lear, Kentucky, for orchestrating a scheme that fraudulently billed Medicare and Kentucky Medicaid...
Mar 27, 2025 | False Claims Act, Fraud Investigations
Last month, we wrote about the Trump Administration’s focus on tariffs and predicted that it would result in an increase in customs fraud cases. On March 25, the DOJ announced that a California-based importer of wood flooring and its owners agreed to pay $8.1...
Mar 24, 2025 | Administrative Law, Health Care, Medicare and Medicaid, Overpayment Appeals
Because Medicare processes over one billion fee-for-service claims annually, it is impossible for CMS and its contractors to review every claim – or even a substantial percentage of claims – on a pre-payment basis. Accordingly, Medicare has set up various...
Mar 18, 2025 | Healthcare Transactions, Medicare and Medicaid
On March 14, Dr. Mehmet Oz, President Donald Trump’s nominee for the Centers for Medicare and Medicaid Services (CMS) Administrator, appeared before the Senate Finance Committee for his confirmation hearing. During the two-and-a-half-hour session, Dr. Oz navigated a...
Mar 18, 2025 | Government Investigations, White Collar Crime
The DOJ announced that Aylissa Glidewell, a 35-year-old from Kingsport, Tennessee, pleaded guilty to conspiring to commit wire and mail fraud for her role in submitting fraudulent claims for COVID-19 employment tax credit refunds. According to the DOJ, Glidewell’s...
