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3 Charged in $107 Million Genetic Testing Kickback Scheme

Jan 10, 2023 | False Claims Act, Health Care Fraud

The DOJ announced that John Grisham, Rob Wilburn, and Richard Speights were charged with conspiracy to defraud the United States and to pay and receive health care kickbacks and bribes.  The Defendants, and their co-conspirators, allegedly submitted at least $107...

Medical Device Distributors Agreed to pay More Than $700,000 to Resolve Criminal and Civil Allegations Related to Unapproved Migraine Treatment

Jan 6, 2023 | False Claims Act

The DOJ just announced that medical device companies Jet Medical Inc. (Jet), Medical Components Inc. (MedComp), and Martech Medical Products Inc. (Martech) agreed to pay $545,133 to settle allegations of violating the False Claims Act (FCA) by distributing misbranded...

OCR’s Right of Access Initiative: Practice Pays $20k to Settle Allegations of HIPAA Violation

Jan 4, 2023 | HIPAA

Chilivis Grubman attorneys have written extensively about the HIPAA Right of Access Initiative by the U.S. Department of Health and Human Services (HHS) Office of Civil Rights (OCR), which was first announced in 2019.  HIPAA rules allow patients (or designated...

Takeaways from CMS’s Press Release Regarding Data Breach of Its Subcontractor Impacting Up to 254K Medicare Beneficiaries

Jan 4, 2023 | Cyber Law, Data Breach

On December 14, 2022, the Centers for Medicare & Medicaid Services (“CMS”), the federal agency that manages the Medicare program, posted a press release related to a data breach suffered by a CMS subcontractor.  According to the notice, on October 8, 2022, a CMS...

CMS Proposes Significant Change to Overpayment Refund Rules

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. ...

Cardiac Monitoring Companies to Pay More than $44.8 Million to Resolve False Claims Act Liability Relating to Services Performed by Technicians in India

Dec 21, 2022 | White Collar Crime

On December 20, the Department of Justice announced BioTelemetry Inc. and its subsidiary CardioNet LLC (collectively “BioTelemetry”) have agreed to pay $44,875,000 to resolve allegations that they violated the False Claims Act by “knowingly submitting claims to...

Georgia Man Sentenced to 20 Years for COVID-19 Fraud and Ponzi Scheme

Dec 21, 2022 | Criminal Matters, Government Investigations

The U.S. Department of Justice announced that Christopher Parris was sentenced to over 20 years (244 months) in prison for his involvement in a COVID-19 scheme and a multi-year Ponzi scheme.  COVID-19 Fraud Scheme.   Mr. Parris’ COVID-19 scheme was unlike the...

5 Former School Administrators Receive Prison Time for Federal Financial Aid Scheme

Dec 21, 2022 | White Collar Crime

The DOJ announced that five former school administrators were sentenced for their roles in an elaborate federal financial aid scheme. Sandra Anderson, Yolanda Brown Thomas, Kristina Parker, Erica Montgomery, and Leo Frank Thomas (Defendants) previously pleaded guilty...

Baltimore Businessman Sentenced to Prison for Employment Tax Crimes

Dec 14, 2022 | White Collar Crime

On December 12, the Department of Justice (DOJ) announced Jonas Purisch, of Baltimore, Maryland, was sentenced to three years in prison for not paying over more than $2 million in payroll taxes to the IRS on behalf of his companies’ employees. Purisch purportedly...

Two New York Women Face up to 10 Years in Prison for Their Roles in Pharmacy Health Care Fraud Kickback Scheme

Dec 14, 2022 | False Claims Act

The DOJ announced that Hua Huang, an employee of NY Elm Pharmacy Inc., and Huiling Wu, owner and employee of 888 Pharmacy Inc., were arrested for their roles in several schemes to defraud Medicare and Medicaid. Huang and Wu are alleged to have paid illegal kickbacks...
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