On July 2, 2025, the U.S. Department of Health and Human Services (HHS) and the U.S. Department of Justice (DOJ) announced that they are forming the DOJ-HHS False Claims Act Working Group to further combat healthcare fraud—an...more
7/15/2025
/ Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Medicare Advantage ,
Regulatory Agenda ,
Regulatory Reform ,
Working Groups
On December 4, the U.S. Court of Appeals for the Seventh Circuit heard oral arguments in USA v. Mark Sorensen, case number 24-1557, and it is now taking under advisement a case that could have widespread effects as to what...more
12/18/2024
/ Anti-Kickback Statute ,
Appeals ,
Criminal Convictions ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Goods or Services ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Marketing ,
Medical Devices ,
Patient Referrals ,
Pharmaceutical Industry ,
Physicians ,
Stark Law
Employers must check its employees, contractors and vendors to see if an individual or organization is excluded from participating in federal and/or state programs. While there are a variety of exclusion programs at the...more
6/10/2024
/ Affordable Care Act ,
Children's Health Insurance Program (CHIP) ,
Department of Health and Human Services (HHS) ,
Employees ,
Employer Liability Issues ,
Exclusions ,
False Claims Act (FCA) ,
Healthcare ,
Healthcare Fraud ,
List of Excluded Individuals/Entities (LEIE) ,
Medicaid ,
Medicare ,
OIG
On January 13, 2023, the United States Supreme Court granted certiorari1 to review the False Claims Act (“FCA”) scienter standard in two FCA whistleblower cases from the Seventh Circuit, U.S. ex rel. Schutte v. SuperValu...more