Sep 9, 2025 | Health Care, Health Care Fraud, Medicare and Medicaid
On September 8, 2025, the U.S. Department of Health & Human Services’ Office of Inspector General (HHS-OIG) issued a report expressing “major” fraud, waste, and abuse concerns related to skin substitutes billed to Medicare Part B. According to...
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,...
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 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...
