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...
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...
Jan 8, 2026 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid, White Collar Crime
On January 7, 2026, the Department of Justice announced that South Carolina clinical laboratory Labtech Diagnostics, and its founder and CEO had agreed to pay at least $6.8 million to resolve allegations that they violated the False Claims Act (FCA) and various other...
Jan 6, 2026 | Health Care, Medicare and Medicaid
The Centers for Medicare & Medicaid Services (“CMS”) just implemented significant changes to the way Medicare reimburses providers for skin substitutes. The changes were triggered in part by a September 2025 report by the Department of Health & Human Services’...
Dec 11, 2025 | Criminal Matters, False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On December 10, 2025, the U.S. Attorney’s Office for the District of New Hampshire announced that telehealth company LifeWorks Counseling Associates and its owner Dr. David Ferruolo had agreed to pay $300,000 to resolve allegations that they violated the False...
Nov 24, 2025 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On November 21, 2025, the DOJ announced that a national wound care practice and its owner had agreed to pay $45 million to resolve allegations that they violated the False Claims Act (FCA) by knowingly causing the submission of false or improper claims to the Medicare...
