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...
Aug 14, 2025 | False Claims Act, federal investigations, Health Care, Health Care Fraud, Healthcare Transactions
The federal False Claims Act (FCA) represents one of – if not the – top regulatory and liability risk that healthcare providers face when doing business with federal healthcare programs (FHPs) including Medicare and Medicaid. The FCA prohibits, among other things,...
Aug 11, 2025 | Health Care
Federal health leaders have excluded major medical organizations including the American Medical Association (AMA), the American Academy of Pediatrics (AAP), the American College of Physicians (ACP), and the Infectious Diseases Society of America (IDSA), from...
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...
