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...
Nov 28, 2022 | False Claims Act
The DOJ announced that a federal jury convicted Rhonda Sutton, an unlicensed medical assistant, for conspiracy to commit health care fraud. According to evidence presented at trial, Sutton conspired to certify Medicare beneficiaries for illegitimate home health...
Nov 22, 2022 | False Claims Act
The DOJ announced that Wise Services Inc. (Wise), an Ohio subcontractor serving the oil and gas industry, agreed to pay $302,500 to resolve allegations of causing fraudulent invoices to be submitted to the Department of Energy (DOE). It was alleged that Wise submitted...
Nov 22, 2022 | False Claims Act
Health care provider Sutter Health, based out of Sacramento, California, has agreed to a $13 million settlement with the U.S. Department of Justice to resolve allegations that Sutter Health violated the False Claims Act by billing Medicare, Medicaid and other federal...
Nov 22, 2022 | False Claims Act
On November 10, 2022, the U.S. Supreme Court agreed to hear the case David F. Dubin v. United States out of the Fifth Circuit Court of Appeals. David Dubin was convicted of healthcare fraud for overbilling Medicaid for the healthcare services provided to one of his...
Nov 22, 2022 | False Claims Act, Fraud Investigations, Government Contract, Government Investigations
In fiscal year 2021, just under 90% of the government’s False Claims Act (FCA) recoveries came from within the healthcare industry. The year prior, that figure was a bit lower, but still over 83%. It is safe to say, then, that the “vast majority” of FCA...
