During the 2021 fiscal year, The U.S. Department of Justice (DOJ) recovered $5.6 billion in civil settlements and judgments involving fraud and violations of the False Claims Act; a record-breaking $5 billion of this recovery was derived from... Read More
On July 20, 2022, the Office of Inspector General (OIG) issued a Special Fraud Alert warning practitioners to exercise caution when entering into certain telehealth arrangements. The Alert references the many recent investigations of telemedicine... Read More
According to the DOJ’s indictment, Ms. Lavache prescribed DME for Medicare beneficiaries without conducting any consultations with the said beneficiaries. As a result, she allegedly caused the submission of false claims to Medicare totaling... Read More
As the Covid-19 public health emergency comes to an end, enforcement discretion related to the Health Insurance Portability and Accountability Act (HIPAA) compliance in the provision of telehealth is likewise set to expire. In light of this, the... Read More
For the first time since 2014, the Federation of State Medical Boards (FSMB) has released an updated guidance on the rules for telemedicine. The FSMB noted its intent to provide a model that can assist state medical boards and lawmakers in... Read More
Earlier this month, two telehealth bills intended to expand patient access to virtual healthcare were introduced to the United States Congress. Each bill seeks to continue building upon the availability of certain telehealth services that existed... Read More
Last week, the United States Department of Justice ("DOJ") announced that an orthopedic surgeon had been indicted by a federal grand jury due to his alleged involvement in a $10 million fraudulent healthcare scheme. According to the DOJ, the surgeon... Read More
Large chain pharmacies such as Walmart and CVS began refusing to fill or delaying Adderall and other ADHD drug prescriptions written by prescribers working for telehealth startups such as Cerebral and Done Health. As a result, other pharmacies who... Read More
In its ongoing effort to combat healthcare fraud, the Department of Justice (“DOJ”) arrested and charged a New York orthopedic surgeon for allegedly submitting approximately $10 million in fraudulent claims to Medicare on April 21, 2022. These... Read More
On April 20, 2022, the Department of Justice (DOJ) announced criminal charges against twenty-one (21) defendants in nine federal courts across the country for their roles in Coronavirus-related healthcare fraud schemes that resulted in more than... Read More
