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New York Doctor Convicted in $24 Million Medicare Fraud Scheme

Feb 17, 2025 | Fraud Investigations, Health Care, Health Care Fraud

A federal jury has found a New York doctor guilty of orchestrating a fraudulent scheme that led to the submission of over $24 million in false claims to Medicare. Dr. Alexander Baldonado, 69, of Queens, was convicted for his role in ordering medically unnecessary...

Trump’s Anti-DEI Executive Order Threatens False Claims Act Enforcement

Feb 10, 2025 | False Claims Act, federal investigations, Fraud Investigations, Government Contract, Government Investigations

On January 31, 2025, President Trump issued Executive Order 14173, entitled “Ending Illegal Discrimination and Restoring Merit-Based Opportunity” (“EO”).  The stated purpose of the EO “is to ensure that [the federal government enforces civil rights laws] by...

New Tariffs Likely to Bring Increase in Customs Fraud Enforcement

Feb 2, 2025 | False Claims Act, federal investigations, Fraud Investigations, Government Investigations

On February 1, 2025, President Trump announced the imposition of substantial tariffs on goods imported from Canada, Mexico, and China.  These tariffs are likely to come with an increase in customs enforcement, with customs officials ensuring that incoming goods are...

Virginia Hospital Indicted for Fraud

Jan 31, 2025 | Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, White Collar Crime

Earlier this month, the Department of Justice announced that it had indicted the Chesapeake Regional Medical Center (CRMC) with healthcare fraud and conspiracy in relation to unnecessary gynecological and other procedures performed by one of its employed physicians....

Maryland Man Convicted in $20 Million Insurance Fraud Case

Jan 28, 2025 | Fraud Investigations

On January 24, 2025, the Department of Justice announced that James Wilson, a Maryland resident, was convicted of charges related to an alleged $20 million insurance fraud scheme. A federal jury found Wilson guilty of conspiracy to commit insurance fraud, money...

Pfizer Settles Allegations of Paying Kickbacks to Doctors to Promote Nurtec ODT

Jan 27, 2025 | Fraud Investigations

Pharmaceutical giant Pfizer Inc., through its subsidiary Biohaven Pharmaceutical, has agreed to a $59.7 million settlement to resolve allegations of submitting false Medicare claims by paying kickbacks to healthcare providers. These kickbacks were allegedly intended...
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  • DOJ Announces Annual National Healthcare Fraud Takedown

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