Medical Fraud Archives - Medical Malpractice Lawyers

Labcorp Agrees To Pay $14.5 Million To Settle Urine Drug Testing Fraud Allegations

September 24, 2026

The United States Attorney’s Office for the District of Massachusetts announced on July 15, 2026 that Laboratory Corporation of America (Labcorp), a national diagnostics testing laboratory, has agreed to pay $14.5 million to resolve allegations that it violated the False Claims Act by submitti[...]

Former Baltimore Medical Malpractice Attorney’s Attempted Extortion Convictions Upheld

September 20, 2026

On July 14, 2026, the United States Court of Appeals for the Fourth Circuit upheld the convictions for attempted extortion under the Hobbs Act and violations of the Travel Act. See 18 U.S.C. §§ 1951(b), 1952(a)(3), 1952(b)(2) against former Baltimore medical malpractice lawyer Stephen Snyder, who [...]

2026 National Health Care Fraud Takedown: 455 Defendants Charged With Over $6.5 Billion In Alleged Fraud

September 7, 2026

The United States Department of Justice announced on June 23, 2026 the 2026 National Health Care Fraud Takedown, which resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse sche[...]

Eleventh Circuit Upholds Qui Tam Provisions Of False Claims Act As Constitutional

September 2, 2026

In 2019, Dr. Clarissa Zafirov brought a qui tam action under the False Claims Sct (“FCA”) on behalf of the United States against her employer and related entities, Florida Medical Associates (d/b/a VipCare); Physician Partners, LLC; Anion Technologies, LLC; Freedom Health, Inc.; and Opti[...]

OIG Report: Medicare Advantage Organizations Denied Prior Authorization Requests For Nursing Home Care At Higher Rates, And Overturned 97% Of Denials When Appealed

August 27, 2026

OIG had in the past raised concerns that Medicare Advantage organizations’ (MAOs’) use of prior authorization can in some cases result in denials and delays in access to needed care for enrollees. MAOs that inappropriately deny care are not delivering the full value that taxpayers pay them to pr[...]

PT Practice Owners Sentenced To Jail For Medicare Fraud

August 21, 2026

Two residents of Erie County, Pennsylvania, each have been sentenced in federal court to six years in prison, to be followed by three years of supervised release, and ordered to pay a $250,000 fine on their convictions of conspiracy to commit wire fraud and healthcare fraud. United States District J[...]

Former Teacher Pleads Guilty In $51 Million Medicare Fraud Scheme

August 18, 2026

On April 16, 2026, former teacher Jeanett Valenzuela Ayub pleaded guilty in federal court, admitting that she conspired with others to launder millions of dollars of health care fraud proceeds. In total, Valenzuela admitted that she and her co-conspirators billed Medicare nearly $51 million for bogu[...]

Massachusetts Sues United Healthcare, Alleging $100 Million Fraud Against MassHealth

August 8, 2026

On May 29, 2026, the Massachusetts Attorney General filed a lawsuit in Suffolk Superior Court against UnitedHealthcare Insurance Company, d/b/a UnitedHealthcare Community Plans of Massachusetts (United), alleging the company falsely manipulated the health status of MassHealth&nbs[...]

Aetna Agrees To Pay $117.7 Million To Resolve Alleged False Claims Act Violations Involving Medicare Advantage Enrollees

July 29, 2026

The United States Attorney’s Office for the Eastern District of Pennsylvania announced on March 10, 2026 that Aetna Inc., a national insurer incorporated under the laws of Pennsylvania, has agreed to pay $117,700,000 to resolve allegations that it violated the False Claims Act by submitting or[...]

Takeda Agrees To $13.6M Settlement Of False Claims Allegations Of Improper Payments To Physicians

July 18, 2026

The United States Department of Justice announced on May 14, 2026 that Takeda Pharmaceuticals, U.S.A. Inc. has agreed to pay $13,670,921 to resolve allegations that it knowingly caused the submission of false claims to Medicare and other federal health care programs by paying kickbacks to healthcare[...]

Federal Appellate Court Affirms Dismissal Of UTI Testing FTC Fraud Claim

June 24, 2026

The Federal Tort Claims Act (“FTC”) imposes liability on anyone who “knowingly presents, or causes to be presented, a false or fraudulent claim for payment or approval” to the federal government. 31 U.S.C. § 3729(a)(1)(A). For a successful FCA claim under this part of the st[...]

California Medical Scan Provider Agrees To Pay $8.3 Million To Resolve False Claims Allegations That It Unlawfully Paid Doctors Kickbacks

June 22, 2026

The United States Attorney’s Office for the Central District of California announced on May 1, 2026 that Modern Nuclear Inc. (MNI), a La Habra-based mobile PET scan company, agreed to pay a total of $8,334,350 plus additional money based on future revenue to resolve False Claims Act allegation[...]

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Category: Medical Fraud