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Kaiser Agrees to $556 Million False Claims Act Settlement

Jan 15, 2026 | False Claims Act, Fraud Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

On January 14, 2026, the Department of Justice announced that several affiliates of Kaiser Permanente agreed to pay $556 million to resolve allegations that they violated the False Claims Act (FCA) “by submitting invalid diagnosis codes for their Medicare...

Skin Substitute Medicare Audits: Is Round Two on the Horizon?

Jan 13, 2026 | Fraud Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

As we have written about several times previously, billing Medicare for skin substitutes used in wound care has come under significant scrutiny by various federal agencies, including the Department of Justice, HHS’ Office of Inspector General (OIG), and CMS and...

Knee Implant Manufacturer Agrees to $38.5 Million False Claims Act Settlement

Nov 18, 2025 | False Claims Act, Fraud Investigations, Health Care, Health Care Fraud, Medicare and Medicaid

On November 17, 2025, the DOJ announced that knee implant manufacturer Aesculap agreed to pay $38.5 million to resolve allegations under the False Claims Act (FCA) that it sold a knee-replacement device (the VEGA System Knee System) which it alleged the company knew...

DOJ & DHS Partner on Trade Fraud Task Force

Sep 2, 2025 | False Claims Act, federal investigations, Fraud Investigations, Government Investigations, Trade Law

We have written previously (here, here, and here) about a marked increase in cusoms-related fraud enforcement, particularly in light of the current administration’s focus on increased tariffs on imported goods. This enforcement has included both criminal charges...

Florida Attorney General Files False Claims Act Lawsuit Against Textbook Publishers

Aug 20, 2025 | False Claims Act, Fraud Investigations, Government Contract

On August 19, 2025, Florida Attorney General James Uthmeier announced that his office had filed a lawsuit under the Florida False Claims Act (FCA) against textbook publishers McGraw Hill and Savvas Learning Company. According to the state, the defendants failed to...

State False Claims Acts and Their Role in Fraud Enforcement

Aug 18, 2025 | False Claims Act, Fraud Investigations, Health Care, Health Care Fraud

We write frequently about the federal False Claims Act (FCA), which is the federal government’s most powerful civil fraud fighting tool. Healthcare providers, government contractors, and any other business that submits claims for reimbursement to the federal...
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Recent Posts

  • Kaiser Agrees to $556 Million False Claims Act Settlement
  • Skin Substitute Medicare Audits: Is Round Two on the Horizon?
  • South Carolina Laboratory Pleads Guilty and Settles False Claims Act Allegations
  • 2026 Brings Major Changes to Medicare’s Reimbursement Model for Skin Substitutes
  • Telehealth Company and Physician Owner Pay $300,000 To Resolve False Claims Act Liability Related to Excluded Provider

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