Articles Posted in health care fraud

The DOJ boasted their record-breaking 2025 healthcare fraud take down in a recent press release that we discussed more generally in another blog post. This post focuses on some of the specific actions taken by the government and highlights the trends across enforcement. DME Fraud Durable Medical Equipment (DME) fraud remains a cornerstone of federal…

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…

Physicians who are arrested face a multitude of other issues. They will face possible termination from their job. But, also they will face issues with the Georgia Composite Board. It is very important to understand that those who are arrested may hire a firm like us and enter into an informal resolution to avoid formal…

As a nurse, your license is one of your most valuable assets. Yet, complaints or accusations against you could jeopardize your ability to practice. At Conaway & Strickler, P.C., we understand the gravity of these situations and are here to help. Attorney Meg Strickler is experienced license defense attorney who has handled these issues for…

The DOJ just announced more successes in health care prosecutions involving approximately $2.75 billion in intended losses and $1.6 billion in actual losses. The case descriptions are varied, but the main jist is the same: the DOJ is utilizing nationwide efforts to crack down on health care fraud. Attorney General Merrick Garland stated that law…

What is Medicaid? Medicaid is a joint federal and state program that helps cover medical costs for some people with limited income and resources. What is Georgia Medicaid? Medicaid is a “medical assistance program that helps many people who cannot afford medical care pay for some or all of their medical bills. Medicaid is administered…

On June 13, 2024, two health care executives of Done Global Inc were indicted for health care fraud related charges. The indictment alleges that the two participated in a scheme to distribute Adderall over the internet, conspire to commit health care fraud in connection with the submission of false and fraudulent claims for reimbursement for…