Mar 26, 2024 | False Claims Act, Government Investigations, Health Care
Governor Brian Kemp’s conservative alternative to the Affordable Care Act’s Medicaid expansion has proven to be a costly endeavor that has provided minimal medical care coverage to Georgia enrollees. The Georgia Pathways to Coverage plan (“Pathways”) places a...
Mar 5, 2024 | Health Care, Health Care Fraud
Medical doctor, Alexander Baldonado, has been charged with one count of conspiracy to commit health care fraud, six counts of health care fraud, two counts of conspiracy to defraud the United States and pay and receive health care kickbacks, and one count of...
Feb 27, 2024 | Health Care, Health Care Fraud, Healthcare Transactions
The DOJ just announced that Dr. John Thropay, former radiation oncologist, was convicted of one count of conspiracy to commit health care fraud and four counts of health care fraud. A California federal jury convicted Thropay for his role in a $2.8 million Medicare...
Feb 23, 2024 | False Claims Act, Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid, White Collar Crime
On February 22, the Department of Justice (DOJ) released its annual False Claims Act (FCA) statistics for Fiscal Year 2023. The DOJ’s press release announced the “highest number of settlements and judgments in history,” at 543 total settlements and judgments....
Feb 9, 2024 | DOJ, False Claims Act, Fraud Investigations, Health Care, Health Care Fraud
Recently, as I scrolled through my Google News Alert email for “False Claims Act,” one government press release caught my eye. The title – “National Roofing Company Settles PPP Fraud Allegations for $9 Million” – while certainly noteworthy, was not what interested...
Feb 7, 2024 | Health Care
At Chilivis Grubman, we strive to keep you abreast of crucial developments in healthcare regulations. In December, we notified you of significant changes to telemedicine prescribing by the Georgia Composite Medical Board (the Board). The Ryan Haight Online Pharmacy...
