Healthcare Fraud

Feds Continue to Aggressively Pursue Health Care Fraud

Over the past 10 years the Department of Justice and U.S. Attorneys’ Offices around the country have focused their investigative efforts on the billions of dollars that have been fraudulently billed to federal and private health insurers. Medicare, Tricare, Medicaid and private insurance companies have been the victims of numerous fraudulent schemes, most notably [...]

By |2023-11-09T14:02:01-04:00November 9th, 2023|Healthcare Fraud|Comments Off on Feds Continue to Aggressively Pursue Health Care 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 [...]

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 [...]

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 [...]

By |2023-11-09T16:16:26-04:00December 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 |2023-11-09T16:18:49-04:00November 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.

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