Sep 17, 2025 | False Claims Act, Health Care, Health Care Fraud, Medicare and Medicaid
On October 16, 2025, the United States Attorney’s Office for the District of Maryland announced that knee implant manufacturer Exactech Inc. had agreed to pay $8 million to resolve allegations that it violated the False Claims Act (FCA). The press release noted...
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...
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...
Jul 2, 2025 | Commercial Payor Audits, federal investigations, Health Care, Health Care Fraud, Medicare and Medicaid
The attorneys at Chilivis Grubman represent a wide variety of healthcare providers and suppliers in connection with Medicare audits and overpayment appeals. Clients often ask us how long a CMS contractor has to reopen a claim for purposes of conducting a post-payment...
Jun 30, 2025 | False Claims Act, federal investigations, Government Investigations, Health Care, Health Care Fraud, Medicare and Medicaid, White Collar Crime
Nearly every summer, the U.S. Department of Justice (DOJ) announces a large-scale healthcare fraud “takedown.” The DOJ announced its latest such action on June 30, 2025. In its press release, the DOJ announced that it had charged 324 defendants in...
