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Medicare Overpayment Appeals: Successful Strategies – Presented by Scott Grubman

May 27, 2025 | Medicare and Medicaid

Follow along with our interactive transcript below. By entering email and watching this free webinar, you give Chilivis Grubman permission to periodically contact you via email with additional educational and informational material.  We will not share your email with...

Justice Department Seizes Domains Tied to International Malware Operation Targeting Millions

May 27, 2025 | Cyber Law

The U.S. Department of Justice has announced the court-authorized seizure of five internet domains used to operate and distribute LummaC2, a widely deployed information-stealing malware. The action, conducted in coordination with the FBI and supported by private...

Texas Rheumatologist Sentenced to 10 Years for $118 Million Health Care Fraud Scheme That Falsely Diagnosed Patients

May 27, 2025 | Health Care, Health Care Fraud

Dr. Jorge Zamora-Quezada, a rheumatologist from Mission, Texas, has been sentenced to 10 years in federal prison and three years of supervised release for orchestrating a massive health care fraud scheme involving more than $118 million in false claims. Dr....

The Georgians Sentenced up to 15 Years in Prison for $30 Million COVID-19 Scheme

May 27, 2025 | White Collar Crime

The Department of Justice pledged to hold accountable those who misused relief funds intended for Americans impacted by the COVID-19 crisis, and these recent sentencings serve as a reminder to their pledge. The DOJ announced that three individuals from Georgia—...

Defense Contractor Agrees to Pay $62 Million to Resolve False Claims Act Investigation

May 22, 2025 | False Claims Act, Fraud Investigations, Government Contract, Government Investigations, White Collar Crime

On May 22, 2025, the Department of Justice announced that Utah-based defense contractor L3 Technologies had agreed to pay $62 million to resolve allegations that one of its subsidiaries violated the False Claims Act (FCA), as well as the Truth in Negotiations Act, by...

DOJ Announces its “Civil Rights Fraud Initiative” and Use of False Claims Act to Combat “Illegal DEI”

May 20, 2025 | False Claims Act, Government Contract, Government Investigations

The federal False Claims Act (FCA) has been used since the Civil War to punish government contractors who submit false or fraudulent claims for payment to government agencies.  The typical FCA case involves a physician submitting false claims for reimbursement to...

Florida Ophthalmology Group Agrees to FCA Settlement Involving Trans-Cranial Doppler Ultrasounds

May 19, 2025 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud

On May 16, 2025, the United States Attorney’s Office for the Middle District of Florida announced that it had reached a False Claims Act (FCA) settlement with Florida-based ophthalmology practice Gulfcoast Eye Care.  The government alleged that Gulfcoast...

Catholic Health System Agrees to $3.3 Million False Claims Act Settlement Based on Stark Law

May 19, 2025 | False Claims Act, Government Investigations, Health Care, Health Care Fraud

On May 16, the United States Attorney’s Office for the Western District of New York announced that Buffalo-based Catholic Health System (CHS) agreed to pay $3.3 million to resolve allegations that it violated the False Claims Act (FCA). According to local news...

DOJ Criminal Chief Issues Sweeping Memo Regarding White Collar Criminal Enforcement

May 13, 2025 | Criminal Matters, DOJ, Government Investigations, Health Care Fraud, White Collar Crime

On May 12, 2025, Matthew Galeotti, who heads the Department of Justice’s (DOJ) criminal division, released a memo addressed to all criminal division personnel entitled “Focus, Fairness, and Efficiency in the Fight Against White-Collar Crime.”...

Pharmaceutical Manufacturer Agrees to Pay $3.6M to Resolve False Claims Act Investigation

May 11, 2025 | False Claims Act, Government Investigations, Health Care, Health Care Fraud

On May 9, 2025, the United States Department of Justice (DOJ) announced that pharmaceutical manufacturer Assertio Therapeutics had agreed to pay $3.6 million to resolve allegations that it violated the False Claims Act (FCA) by causing the submission of false claims...
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