Last month, Philips RS North America, LLC (formerly Respironics, Inc.), a durable medical equipment manufacturer, agreed to pay $1.28 million to settle civil allegations that it unlawfully induced referrals for its equipment in violation of the... Read More
Earlier this month, the DOJ announced that a pharmacy owner pleaded guilty to conspiracy to commit health care fraud for his involvement in an $8.3 million scheme. The individual was an owner of three pharmacies that paid kickbacks to telemarketers... Read More
Earlier this week the Second Circuit affirmed a lower court’s holding which found that drug manufacturer Pfizer Inc.’s practice of providing copay assistance to Medicare beneficiaries violated the Federal Anti-Kickback Statute (“AKS”).... Read More
The Department of Justice ("DOJ") indicted a North Carolina physician assistant last month on criminal charges in a genetic testing scheme that resulted in the submission of more than $10 million in fraudulent claims to Medicare. The indictment... 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
On July 14, 2022, the United States Department of Justice (DOJ) announced that OPKO Health, Inc. (“OPKO”) and its subsidiary, BioReference Health LLC (“BioReference”), agreed to pay $9.85 million to resolve claims under the Federal False... Read More
The Department of Justice (DOJ)’s enforcement efforts aimed at speaker programs have not slowed since the DOJ filed criminal and civil actions against Insys, its executives, and scores of physicians relating to the off-label promotion of Subsys,... Read More
Anthony Mahajan, Frier Levitt Partner and Chair of the White-Collar Defense and Government Investigations practice, recently published an article in Applied Clinical Trials, titled “Are You a Victim of Clinical Trial Fraud? If So, What Are Your... Read More
On June 29, 2022, the Department of Justice (“DOJ”) announced the formation of the New England Prescription Opioid (NEPO) Strike Force. This strike force will investigate and vigorously prosecute healthcare providers involved in healthcare fraud... 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
