In January 2020, the declaration of COVID-19 as a public health emergency relaxed certain billing requirements.  See 42 C.F.R. 422.100(m) (describing requirements applicable to services provided during a disaster or emergency).  These areas, as... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | COVID-19 Resources | Data Transactions | Healthcare | Healthcare Law | Medical Practice Representation | White Collar Defense and Government Investigation

A Texas husband and wife dentist team recently reached an agreement with the United States Department of Justice (“DOJ”) to pay $3.1 Million to resolve allegations that they violated the False Claims Act (“FCA”) by defrauding the Texas... Read More
Blogs & Articles | Dental Practices | Healthcare | Healthcare Law | Medicare, Medicaid, and Other Commercial Payor Audits & Appeals | White Collar Criminal Defense & Government Investigations

Recently, the Department of Justice announced a series of prosecutions against numerous individuals, including a physician, a telemedicine executive, marketers, and various laboratory and pharmacy owners. In sum, 14 defendants across seven federal... Read More
All types of single and multi-specialty medical practice groups | Blogs & Articles | Federal and State Fraud and Abuse Counseling | Healthcare | Healthcare Law | Laboratories | Physicians and Medical Practices of all Specialties | Telehealth and Telemedicine | White Collar Defense and Government Investigation

The Department of Justice recently announced that Robin Darnell, referred to as “Nurse Robin,” has pled guilty to one count of conspiracy as part of her role in a telehealth kickback scheme. According to the Department, the plea agreement may... Read More
Blogs & Articles | Healthcare | Healthcare Law | Telehealth and Telemedicine | Telehealth and Telemedicine | White Collar Defense and Government Investigation

The Department of Justice (“DOJ”) has recently announced that it is ramping up its efforts to prosecute fraud in clinical research trials. To obtain Food and Drug Administration (“FDA”) approval for new drugs and medical devices, it must be... Read More
Blogs & Articles | Clinical Trials/Human Subjects Research | Healthcare | Healthcare Law | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA | White Collar Criminal Defense & Government Investigations | White Collar Defense and Government Investigation

On May 4, 2021, the Department of Justice announced that Incyte Corporation has agreed to pay $12.6 million to resolve allegations that it violated the False Claims Act by paying kickbacks through a non-profit organization. The Department alleged... Read More
Blogs & Articles | Life Sciences | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA | White Collar Criminal Defense & Government Investigations

On May 3, 2021, the Department of Justice announced that the owners of a Florida telemarketing company were charged for their alleged participation in a $46 million genetic testing telehealth scheme. The Department of Justice alleges that the... Read More
Blogs & Articles | Healthcare | Healthcare Law | Telehealth and Telemedicine | White Collar Defense and Government Investigation

False Claims Act (“FCA”) cases brought by the Department of Justice (“DOJ”) returned only $2.2 billion in recovered funds in 2020, down from $3.0 billion in 2019 and $2.9 billion in 2018, making 2020’s FCA recovery amount the lowest since... Read More
Blogs & Articles | Healthcare | Healthcare Law | White Collar Defense and Government Investigation

The last few years have brought on a slew of litigation aimed at combatting the opioid epidemic. Most recently, however, a complaint has been lodged against the United States, which has great potential to shape future litigation. Specifically, on... Read More
Blogs & Articles | Chain Pharmacies | Community, Retail Pharmacies | Federal and State Fraud and Abuse Counseling | Pharmacy Law | Regulatory Compliance, including FDA, DEA and HIPAA

In a recent trend, the government is increasing investigations and prosecutions of pharmacies alleging health care fraud and False Claims Act (“FCA”) violations based on inventory shortages. Multiple governmental offices, including the... Read More
Blogs & Articles | Community, Retail Pharmacies | Federal and State Fraud and Abuse Counseling | Life Sciences | Pharmacy Law | White Collar Criminal Defense & Government Investigations