Articles Posted in health care fraud

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…

Nursing License Issues? Conaway & Strickler, PC has over 3 decades of experience assisting nurses whose professional licenses are threatened by allegations of misconduct. If you receive a notification from the Board about an issue with your license, contact us immediately. We are here to help. Here are a few situations that Conaway & Strickler,…

Professional license defense is vital. Various professionals must have a valid, active license. When there are allegations of an arrest, substance abuse issues, misconduct or compliance failures, this can lead to disciplinary actions. Understanding what is involved and knowing how to navigate this is crucial for any professional facing such challenges. Over the past three…

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…