Jul 21, 2025 | Health Care
The DOJ announced that Juan Carlos Esparza, a 33-year-old resident of Valley Village, California, has pleaded guilty to defrauding Medicare of approximately $16 million by operating a network of fraudulent hospice companies. Esparza and his co-conspirators ran at...
Jul 17, 2025 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
On July 17, 2025, the Department of Justice (DOJ) and the States of Colorado, Georgia, and South Carolina announced that the former CEO and owner of a now-defunct laboratory agreed to a consent judgment of over $27.5 million under the False Claims Act (FCA),...
Jul 17, 2025 | False Claims Act, federal investigations, Government Investigations, Health Care, Health Care Fraud
The False Claims Act (FCA) is the government’s most powerful civil tool to investigate and pursue claims against businesses and individuals who submit false or fraudulent claims to the government. Every year, the Department of Justice (DOJ) obtains billions of dollars...
Jul 13, 2025 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
Back in December 2019, the United States Attorney’s Office for the Southern District of New York (USAO-SDNY) announced that it had filed a lawsuit under the False Claims Act (FCA) against CVS Health and its subsidiary, Omnicare, “for fraudulently billing...
Jul 5, 2025 | Civil Healthcare Litigation, DOJ, False Claims Act, Fraud Investigations, Government Investigations, Government Litigation, Health Care, Health Care Fraud, Medicare and Medicaid, White Collar Crime
While much of the Department of Justice’s (DOJ) enforcement has shifted away from white collar to other areas such as immigration, drug trafficking, and violent crime, the Trump DOJ has made clear that it will continue to prioritize enforcement under the False...
Jul 2, 2025 | Commercial Payor Audits, federal investigations, Health Care, Health Care Fraud, Medicare and Medicaid
The attorneys at Chilivis Grubman represent a wide variety of healthcare providers and suppliers in connection with Medicare audits and overpayment appeals. Clients often ask us how long a CMS contractor has to reopen a claim for purposes of conducting a post-payment...
