Articles Posted in health care fraud

A complaint against a healthcare professional can put years of education, training, and professional achievement at risk. For physicians, nurses, pharmacists, physician assistants, and other licensed healthcare providers in Georgia, even a single allegation of misconduct can trigger an investigation with serious consequences. Disciplinary proceedings can result in public reprimands, fines, probation, restrictions on professional…

Hospice providers face increasing federal scrutiny as the Department of Justice (DOJ), Centers for Medicare & Medicaid Services (CMS), and Department of Health and Human Services Office of Inspector General (HHS-OIG) intensify efforts to identify Medicare fraud, improper billing, and unlawful referral arrangements. For hospice owners, administrators, medical directors, and healthcare professionals, the consequences of…

Federal prosecutors charge 15 defendants, including six medical professionals, in sweeping healthcare fraud enforcement action. The Department of Justice announced on October 22, 2026, that federal prosecutors in Los Angeles charged 15 defendants, including six medical professionals, in a sweeping healthcare fraud takedown involving approximately $2 billion in allegedly fraudulent healthcare claims. The cases involve…

On October 15, 2026, the U.S. Department of Justice’s National Fraud Enforcement Division (NFED) and the Department of Health and Human Services Office of Inspector General (HHS-OIG) announced a new joint policy governing voluntary self-disclosure of potential criminal healthcare misconduct. The policy represents an important change in how healthcare companies may report suspected criminal violations…

False Claims Act attorney Georgia: The Eleventh Circuit has issued the highly anticipated decision we discussed in our June 2026 article concerning the constitutionality of the False Claims Act’s whistleblower provisions. And, at least for now, the False Claims Act’s qui tam system survives. On September 1, 2026, the U.S. Court of Appeals for the…

Criminal charges do not automatically mean a Georgia doctor will lose their medical license. But physicians should not assume that the Medical Board will simply wait for the criminal case to end. A physician facing criminal allegations may find themselves dealing with two separate proceedings: The criminal case AND a Georgia Composite Medical Board matter.…

For a physician, an arrest or criminal investigation can threaten much more than freedom. Contact us – your Georgia physician criminal defense lawyer. A doctor facing criminal allegations may also have to worry about hospital privileges, DEA registration, employment, credentialing, Medicare and Medicaid participation, the National Practitioner Data Bank, malpractice insurance, and professional reputation, among…

On June 23, 2026, the U.S. Department of Justice (DOJ) and Department of Health and Human Services (HHS) announced the results of the 2026 National HealthCare Fraud Takedown, charging 455 defendants in alleged schemes involving more than $6.5 billion in false claims.  The Numbers The 2026 Takedown did not match last year’s record numbers.  But,…

DO I NEED A PHYSICIAN LICENSE DEFENSE ATTORNEY? Although it is not required, having an attorney assist you in physician license defense usually helps you achieve a better outcome than if you were on your own. WHAT CAN AN ATTORNEY DO TO ASSIST? If you have had an arrest for any crime, it is important…

Under the False Claims Act, individuals or entities can be held liable for knowingly submitting false or fraudulent claims for payment to the government. The FCA allows private individuals, known as “whistleblowers” or “relators,” to file lawsuits on behalf of the government and share in any monetary recovery. These health care fraud lawsuits are known…