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False Claims Act: Kickbacks In The Health Care Industry

March 22, 2022

Kickbacks in the healthcare industry are pernicious because of their potential to subvert medical decision-making and to increase healthcare costs. In addition to pursuing improper payments by drug manufacturers, the department resolved other schemes involving the willful solicitation or payment of [...]

Arkansas Man Charged In $100 Million COVID-19 Health Care Fraud Scheme

December 7, 2021

The U.S. Department of Justice announced on November 3, 2021 that a federal grand jury in the Western District of Arkansas returned an indictment on November 2, 2021 charging an Arkansas man who owned or managed numerous diagnostic testing laboratories with health care fraud in connection with over [...]

Michigan Pain Doctor Convicted In $100 Million Health Care Fraud Scheme

November 8, 2021

A federal jury in the Eastern District of Michigan convicted a Michigan doctor on September 22, 2021 for his role in masterminding and executing a complex scheme to defraud Medicare and other health insurance programs by administering medically unnecessary spinal injections in exchange for prescript[...]

138 Defendants Charged With Over $1.4B In Health Care Fraud

October 15, 2021

The U.S. Department of Justice announced on September 17, 2021 criminal charges against 138 defendants, including 42 doctors, nurses, and other licensed medical professionals, in 31 federal districts across the United States for their alleged participation in various health care fraud schemes that r[...]

Texas Woman Sentenced For Possession And Use of Protected Health Information

October 6, 2021

The U.S. Department of Justice U.S. Attorney’s Office Eastern District of Texas announced that Lydia Henslee, 29, who had pleaded guilty on March 25, 2021 to conspiring to possess and use means of identification in connection with various offenses, was sentenced on September 25, 2021 to 24 month[...]

U.S. Sues UMPC And Its Surgeon For Overlapping Surgeries

October 2, 2021

The U.S. Attorney’s Office Western District of Pennsylvania announced on September 2, 2021 that the United States has filed a complaint under the False Claims Act against the University of Pittsburgh Medical Center (UPMC), University of Pittsburgh Physicians, and James Luketich, M.D. based on a t[...]

Mississippi Pharmacy Owner Sentenced To 18-Year Prison Sentence For His Part In $287M Health Care Fraud Scheme

February 7, 2021

On January 15, 2021, the U. S. Department of Justice announced that a 54-year-old Mississippi businessman who co-owned numerous compounding pharmacies and pharmaceutical distributors was sentenced to 18 years in prison on his guilty plea to one count of conspiracy to commit health care fraud and one[...]

Compounding Pharmacist Found Guilty In $21.8M Health Care Fraud Case

April 13, 2020

The United States Department of Justice announced on March 11, 2020 that a federal jury in Texas has found a 75-year-old pharmacist guilty of charges related to health care fraud, wire fraud, and money laundering. After a six-day trial, the jury convicted the pharmacist on one count each of conspira[...]

Seven Indicted For $50M In Medically Unnecessary Prescriptions In 50-Count New Jersey Indictment

March 28, 2019

The Department of Justice U.S. Attorney’s Office District of New Jersey announced on March 15, 2019 that a federal grand jury has returned a 50-count indictment charging seven people with defrauding New Jersey state health benefits programs and other insurers out of more than $50 million by submit[...]

$2.5 Billion Recovered From Health Care False Claims Act Cases In Fiscal Year 2018

February 7, 2019

The U.S. Department of Justice announced on December 21, 2018 that the Department obtained more than $2.8 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending September 30, 2018. Recoveries since 1986, when Congress [...]

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