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DOJ Announces National Health Care Fraud Enforcement Actions Result in Charges Involving over $1.4 Billion in Alleged Losses

On September 17, 2021, the Department of Justice announced in a PRESS RELEASE that criminal charges had been brought against 138 defendants, including 42 doctors, nurses and other licensed medical professionals. These charges spanned 31 federal districts across the U.S. for alleged participation in various health care fraud schemes that resulted in approximately $1.4 billion in alleged losses. Watch Assistant Attorney General Kenneth A. Polite Jr.’s remarks on health care fraud enforcement actions HERE. The largest amount of the alleged fraud charged related to schemes… Read More »DOJ Announces National Health Care Fraud Enforcement Actions Result in Charges Involving over $1.4 Billion in Alleged Losses

Mail-Order Diabetic Testing Supplier and Parent Company Agree to Pay $160 Million to Resolve Alleged False Claims to Medicare

On Monday, August 2, 2021, the DOJ announced that Arriva Medical LLC (“Arriva”), a mail-order diabetic testing supplier, and its parent, Alere Inc. (“Alere”) have agreed to pay $160 million to resolve allegations that they violated the False Claims Act. According to the July 2021 Settlement Agreement: -From 2009 until December 2017, Arriva was a Florida-based mail-order supplier of diabetic testing supplies to, amongst others, beneficiaries of the Medicare program. Arriva was founded in 2009 by David Wallace and Timothy Stocksdale, who, along with other… Read More »Mail-Order Diabetic Testing Supplier and Parent Company Agree to Pay $160 Million to Resolve Alleged False Claims to Medicare

South Carolina’s Largest Urgent Care Provider and its Management Company to Pay $22.5 Million to Settle Civil Allegations of Healthcare Fraud in Violation of the False Claims Act

On April 8, 2021, the DOJ announced in a PRESS RELEASE that Doctors Care, P.A. – South Carolina’s largest urgent care provider network – and its management company, UCI Medical Affiliates of South Carolina, Inc. (“UCI”), will pay $25 million to resolve* civil allegations of healthcare fraud in violation of the False Claims Act. Relators initiated the FCA action on August 8, 2017 with the filing of their original complaint. On September 18, 2017, Relators filed their Amended Complaint for False Claims Act Violations, a… Read More »South Carolina’s Largest Urgent Care Provider and its Management Company to Pay $22.5 Million to Settle Civil Allegations of Healthcare Fraud in Violation of the False Claims Act

Department of Justice Fraud Section Year in Review 2020

In February 2021, the DOJ Fraud Section issued its annual Year in Review 2020. In 2020, the DOJ Fraud Section spearheaded one of the largest-ever National Health Care Fraud and Prescription Opioid Takedowns. The DOJ Fraud Section’s Year in Review 2020 set out notable case examples of its nationwide effort to combat health care fraud – four (4) of which occurred in Florida: United States v. Jorge Perez, et al (M.D. Fla.) This case fell under the National Rapid Response Strike Force’s (NRRSF) purview, involving… Read More »Department of Justice Fraud Section Year in Review 2020

Two Women Indicted on $100 Million Home Health Care Fraud and Money Laundering Scheme

The U.S. DOJ, District of Massachusetts issued a press release on February 1, 2021 concerning two women that were arrested and charged in connection with a home health care fraud scheme. The government also filed a civil action seeking forfeiture of five properties and 40 financial accounts and investments in a scheme to launder the ill-gotten gains. Newton was part owner and operator of Arbor Homecare Services LLC (“Abor”). Waruru was a Licensed Practical Nurse employed as a home health nurse at Arbor. It is… Read More »Two Women Indicted on $100 Million Home Health Care Fraud and Money Laundering Scheme