Category: False Claims Act

U.S. Justice Department Takes Tough Stance on MA Medicare Fraud in the Cases Against Kaiser Permanente

DOJ recently joined forces with numerous private plaintiffs against healthcare giant Kaiser Permanente. The original whistleblower lawsuit, filed under the qui tam provisions of the False Claims...

The Inspector General’s Strategic Plan for 2020-2025

In addition to fighting fraud, HHS-OIG performs a myriad of other functions that are worth mentioning. In its Strategic Plan for 2025, it articulated a...

OIG Is the Fulcrum in the Fight Against HSS Program Fraud

The U.S. Department of Health and Human Services (HSS) provides over $1 trillion in health and human services to the American people. Every day, more...

Paying Physicians to Draw Blood and Process Samples Can Be an Illegal Kickback – U.S. V. Mallory

In U.S. v. Mallory, the 4th Circuit Court of Appeals issued a recent opinion regarding violations of the Federal Anti-Kickback Statute and involving Medicare Fraud. ...

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