Archive
Fraud & Abuse
DOJ Releases 2024 COVID-19 Fraud Enforcement Task Force Report
Summary of article from Morrison Foerster, by Adam Braverman, Kate Driscoll, Kamran Jamil, Brian Kidd, Nathaniel Mendell: The U.S. Department of Justice (DOJ) has released a…
Clinic Owner Sent to Prison for Orchestrating $15M Medicare Fraud and Kickback Scheme
Gwendolyn Gibbs, the owner of the Houston-based Daybreak Rehabilitation Center, has been sentenced to 84 months in federal prison and ordered to pay $8.68 million in…
Houston Clinic Owner Sentenced for Healthcare Fraud Scheme
Summary of article from mytexasdaily.com: Gwendolyn Gibbs, the 72-year-old owner of a Houston-based mental health clinic, has been sentenced to seven years in federal prison for…
Pandemic Fraud Suits Have Yielded Over $100 Million, Report Says
From Bloomberg Law, by Daniel Seiden: The Covid-19 Fraud Enforcement Task Force has reported that over $100 million has been reclaimed by the US government through…
Patient Inducements: Law and Limits
From Holland & Hart, by Kim Stanger: Although often well-intentioned, offering free or discounted items or services to patients (e.g., gifts, rewards, writing off copays, free…
Ten Physicians and Local Execs Indicted in Pharmacy Kickback Scheme
From D Magazine, by Will Maddox: A pharmaceutical kickback scheme in the Northern District of Texas has led to the indictment of 14 people, including several…
The Risk of Criminal Charges in Hospice Fraud Cases
From Hospice News, by Holly Vossel: Hospice providers face significant regulatory risks related to False Claims Act (FCA) violations, with potential criminal charges in instances of…
New AI Technique Significantly Boosts Medicare Fraud Detection
From Medical Xpress, by Florida Atlantic University: Medicare is frequently targeted by fraudulent insurance claims, with the estimated annual fraud amounting to over $100 billion. Traditional…
Physician’s Assistant Convicted at Trial of Amniotic Fluid Scam
From Press Release, United States Attorney’s Office, Northern District of Texas: A 36-year-old physician’s assistant at a Fort Worth pain management clinic has been convicted of…
Recent $345 Million Settlement Underscores Critical Importance of Appropriate Physician Compensation
From Baker Donelson, by Alissa Fleming and Joseph Keillor: An Indianapolis-based health system recently settled with the Department of Justice for $345 million due to allegations…