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Healthcare Fraud

Special Fraud Alert – Telemedicine

Earlier this month, the U.S. Department of Health and Human Services, Office of Inspector General (HHS, OIG) issued a special fraud alert advising healthcare providers to exercise caution when contracting with telemedicine companies. Such alerts are significant as they put providers on notice that OIG intends to investigate and prosecute potential fraud regarding telemedicine. [...]

The Importance of Experts in Criminal Cases

The proper expert retained early in the investigation can assist the client’s criminal defense attorney in their efforts to prevent the charges from being filed, or to assist in developing a defense to aid in plea negotiations or to prevail at trial.

By |2022-09-21T09:54:59-04:00June 15th, 2022|Business Fraud, Criminal Investigation, Discovery, Felony, Fraud Charges, Healthcare Fraud, Internet Crimes, White Collar Criminal Defense|Comments Off on The Importance of Experts in Criminal Cases

DOJ’s Aggressive Prosecutions of COVID-19 Schemes and Healthcare Fraud Continues

The Department of Justice just announced charges against 21 individuals in a nationwide crackdown of COVID-19 related prosecutions that resulted in $150 million worth of fraud. The schemes were varied and involved medical doctors, medical labs, marketers and others in the healthcare field. For instance, two owners of a lab in California allegedly billed more [...]

Attorney General Garland’s Emphasis on White Collar Crime

U.S. Attorney General Merrick Garland announced that the Department of Justice (DOJ) is planning a hiring spree to investigate and prosecute pandemic related fraud and traditional white collar crimes. President Biden’s budget seeks $3.5 million to hire an additional 120 prosecutors to focus on pandemic related fraud and $325 million for 900 additional FBI [...]

By |2022-09-21T09:55:44-04:00March 10th, 2022|COVID, Criminal Charges, Criminal Investigation, Criminal Trial, Fraud Charges, Healthcare Fraud, Indictment, Pandemic, White Collar Criminal Defense, White-Collar Crime Penalties|Comments Off on Attorney General Garland’s Emphasis on White Collar Crime

Health Care Prosecutions by DOJ’s Fraud Section

In addition to the 93 U.S. Attorney’s Offices around the country that investigate and prosecute health care fraud, the Fraud Section of the Department of Justice’s Criminal Division based in Washington D.C. has approximately 76 federal prosecutors devoted to such prosecutions. This DOJ Unit targets complex health care fraud involving illegal prescription, distribution and diversion [...]

New Administration Leads to New DOJ Enforcement Priorities

Each new administration, through its Attorney General, set policy as to the Department of Justice’s enforcement priorities. As the Assistant Attorney General in charge of the Criminal Division, Kenneth Polite recently outlined those priorities. In general, those areas include foreign corruption, computer crimes and money laundering. Polite announced that his office will be unveiling a [...]

By |2021-12-15T12:52:12-04:00December 14th, 2021|Business Fraud, Criminal Charges, healthcare, Healthcare Fraud, Money Laundering|Comments Off on New Administration Leads to New DOJ Enforcement Priorities

Department of Justice’s Focus on Telemedicine Fraud

With Covid-19 still surging throughout the United States, telemedicine has expanded as a viable option for patients seeking to limit their exposure to doctors’ offices. To meet this need, Federal and State regulators have both implemented and increased a number of measures allowing telemedicine to reach more people, as well as cover more areas of practice.

By |2021-05-25T17:49:36-04:00November 11th, 2020|Healthcare Fraud|0 Comments

Department of Justice Prosecutions of COVID-19 PPE Fraud

As discussed in a prior post, the Department of Justice has formed a nationwide task force comprised of AUSAs from each of the 93 U.S. Attorneys’ Offices, as well as Main Justice. Together they total more than 100 federal prosecutors, to investigate and prosecute fraud related to the ongoing pandemic. The District of New Jersey U.S. Attorney Craig Carpenito spearheads this effort.

COVID-19 Tests and Potential Kickback Enforcement

One of the largest issues hampering the re-opening of the American economy is that there are many asymptomatic yet contagious carriers of COVID-19. Rational leaders, medical experts, and scientists agree that widespread testing is essential to prevent further hotspots and determine which areas of the country may start to open again. Tests to determine whether a person is currently infected, as well as  antibody tests to determine whether a person has been exposed and may have some immunity to the virus, will soon be widely available from many new sources. Companies cannot make informed decisions about when and how to re-open without knowing if their employees are healthy. State and local governments cannot determine how to move forward without this critical information. The federal government has assisted testing companies and labs by removing some of the FDA safeguards and time periods normally in place to ensure quality standards and safety.

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