Chilivis Grubman LLP
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Virginia Hospital Indicted for Fraud

Jan 31, 2025 | Fraud Investigations, Government Investigations, Health Care, Health Care Fraud, White Collar Crime

Earlier this month, the Department of Justice announced that it had indicted the Chesapeake Regional Medical Center (CRMC) with healthcare fraud and conspiracy in relation to unnecessary gynecological and other procedures performed by one of its employed physicians....

False Claims Act Settlements and Judgments Exceed $2.9B in Fiscal Year 2024

Jan 16, 2025 | False Claims Act

On January 15, 2025, the DOJ announced that its False Claims Act (FCA) recovery for fiscal year 2024 (which ended on September 30, 2024) exceeded $2.9 billion. This figure is slightly higher than the total recovery from the prior fiscal year ($2.7B) and the year...

Annual Defense Appropriations Legislation Brings Major Changes to Administrative False Claim Act

Jan 14, 2025 | Administrative Law, False Claims Act, Fraud Investigations, Health Care, Health Care Fraud

Late last year, President Biden signed the annual National Defense Authorization Act (NDAA) for fiscal year 2025.  This alone is not newsworthy, as this has happened every year since the NDAA was introduced in 1961.  Generally speaking, the NDAA governs Department of...

CMS Issues Final Regulations Regarding Medicare 60-Day Rule

Nov 11, 2024 | Health Care, Medicare and Medicaid

When the Affordable Care Act was passed and signed into law by President Obama in 2010, one of its provisions required Medicare providers and suppliers to report and refund Medicare overpayments within 60 days of “identifying” such an overpayment.  Violating this...

Pharmaceutical Giant Teva Agrees to Pay $450 Million to Resolve False Claims Act and Antitrust Matters

Oct 14, 2024 | False Claims Act, Health Care, Health Care Fraud, White Collar Crime

On October 10, 2024, the DOJ announced that Teva Pharmaceuticals had agreed to pay $450 million to resolve two matters, one of which was the result of an investigation conducted pursuant to the False Claims Act (FCA). According to the DOJ, the settlement encompasses...
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Recent Posts

  • Medicare Overpayment Appeals: Successful Strategies – Presented by Scott Grubman
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  • Texas Rheumatologist Sentenced to 10 Years for $118 Million Health Care Fraud Scheme That Falsely Diagnosed Patients
  • The Georgians Sentenced up to 15 Years in Prison for $30 Million COVID-19 Scheme
  • Defense Contractor Agrees to Pay $62 Million to Resolve False Claims Act Investigation

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