Articles Posted in False Claims Act

On June 30, 2025, the Department of Justice announced its largest-ever National Health Care Fraud Takedown, unveiling criminal charges against 324 individuals, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals across 50 federal districts and 12 state attorney general offices. The alleged schemes involved over $14.6 billion in intended losses—a record more than double the…

Fraud is a concept that has been in the criminal justice system forever.  Google defines it as an intentional deception used to gain an unfair advantage or benefit, often involving financial gains.  How does the Department of Justice prosecute fraud?  Below is a non exhaustive list of charges that the DOJ can bring. The FBI…

Billing to the United States government presents a unique set of legal requirements for healthcare professionals. Physicians who participate in federal healthcare programs like Medicare and Medicaid are subject to strict billing regulations. Even inadvertent errors can lead to severe legal consequences, including criminal charges. Understanding these laws and the potential risk of noncompliance is crucial…

The federal government may target organizations and businesses as well as individuals for violations of federal criminal statutes.  For example, in the health care realm, cases can include office managers, practitioners from doctors, nurses to pharmacists to all other aspects of the medical industry.  Recent federal investigations have targeted pill mills, medicaid fraud, and accepting…

Settlements and judgments under the False Claims Act have reached a unprecedented high in the United States. According to the Department of Justice in a press release, there were 543 settlements and judgments in the 2023 fiscal year, which exceeded over $2.68 billion. In the release, Principal Deputy Assistant Attorney General Boynton states “As the…

Attorney General Merrick Garland made recent comments about what he considered to be the Department of Justice’s top priorities for 2022. Since taking office in March 2021, Garland has tried to combat crime in a tumultuous time. He has been criticized for his handling of January 6 investigation and has stated it’s the most urgent…

Health Care Qui Tam cases What does Qui Tam mean? Qui tam is short for the Latin phrase “qui tam pro domino rege quam pro se ipso in hac parte sequitur,” which roughly translates to “he who brings an action for the king as well as for himself.” How does the Qui Tam definition relate…

False Claims Act – Has the state or federal government reached out to your professional office alleging violations of the False Claims Act? Call Conaway & Strickler, PC as soon as possible if so. It is imperative to have help at the first indication that the government is looking into your billing for Medicare. Are…