The United States Department of Justice (DOJ) is the federal agency tasked with enforcing a wide range of federal laws and regulations. When the DOJ suspects that an individual or business has violated a federal law or...more
The Computer Fraud and Abuse Act (CFAA), codified at 18 U.S.C. Section 1030, is one of the U.S. Department of Justice’s most potent weapons in its fight against cybercrimes. It outlines numerous offenses, and it imposes...more
9/1/2021
/ Computer Fraud and Abuse Act (CFAA) ,
Criminal Conspiracy ,
Criminal Prosecution ,
Cyber Crimes ,
Cyber Threats ,
Cybersecurity ,
Defense Strategies ,
Department of Justice (DOJ) ,
Felonies ,
Misdemeanors ,
Popular ,
Risk Mitigation ,
Unauthorized Access
Cardiovascular stress testing to diagnose patients with coronary artery disease (CAD) and other related types of conditions can be a highly-effective tool in many cases. In fact, many cardiologists routinely recommend stress...more
8/24/2021
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Documentation ,
False Billing ,
Health Care Providers ,
Investigations ,
Local Coverage Determinations (LCDs) ,
Medical Necessity ,
Medicare ,
Medicare Fraud ,
OIG ,
Policies and Procedures ,
Stress Tests
The Centers for Medicare and Medicaid Services (CMS) and U.S. Department of Justice (DOJ) are scrutinizing health care providers’ Medicare billings for amniotic injections. These injections are only eligible for Medicare...more
8/17/2021
/ Anti-Kickback Statute ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Investigation Demand ,
Department of Justice (DOJ) ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
Medicare Fraud
In October 2020, the U.S. Department of Justice (DOJ) filed charges against eight individuals accused of operating “repatriation squads” in the United States on behalf of the People’s Republic of China (PRC). It announced...more
7/29/2021
/ China ,
Criminal Convictions ,
Criminal Investigations ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
FBI ,
Foreign Agents ,
Foreign Governments ,
Foreign Nationals ,
National Security ,
Popular ,
United Arab Emirates (UAE)
Clinical laboratories such as respiratory and clinical labs that bill Medicare, Department of Health and Human Services (“DHHS”) programs, and other federal programs are subject to oversight by the Office of Inspector General...more
7/14/2021
/ Chief Compliance Officers ,
Clinical Laboratories ,
Compliance ,
Compliance Commitees ,
Coronavirus/COVID-19 ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
False Billing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Indictments ,
Investigations ,
OIG ,
Policies and Procedures ,
Virus Testing
The U.S. Department of Justice (DOJ) is cracking down on healthcare fraud, and many providers are finding themselves facing serious allegations. This includes criminal allegations in many cases. If these allegations lead to a...more
6/8/2021
/ Arraignment ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
Discovery ,
Evidence ,
Federal Prosecutors ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Indictments ,
Motion to Dismiss ,
Physicians ,
Plea Negotiations ,
Pre-Trial Motions ,
Preliminary Hearings
Zone Program Integrity Contractors (ZPICs) and Unified Program Integrity Contractors (UPICs) are federal contractors who work under the direction of the Centers for Medicare and Medicaid Services (CMS) to uncover fraudulent...more
5/25/2021
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Defense Strategies ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
Health Care Providers ,
Healthcare Fraud ,
Medicare ,
Overpayment ,
Provider Payments ,
Underpayment ,
Zone Program Integrity Contractors (ZPICs)
The COVID-19 pandemic has created many new enforcement priorities for the U.S. Department of Justice (DOJ). From selling ineffective personal protective equipment (PPE) to companies fraudulently seeking loan forgiveness under...more
3/30/2021
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Controlled Substances ,
Controlled Substances Act ,
Coronavirus/COVID-19 ,
DEA ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Electronic Prescribing ,
Eliminating Kickbacks in Recovery Act of 2018 (EKRA) ,
FBI ,
Health Care Providers ,
Health Clinics ,
Healthcare Fraud ,
Medical Necessity ,
OIG ,
Opioid ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Policies and Procedures ,
Prescription Drugs ,
Stark Law
What Is A Target Letter?
Federal investigations are complex, time-consuming, and often a cause of great anxiety for the individuals involved. The government has a variety of tools in its arsenal to gather preliminary...more
3/2/2021
/ Criminal Investigations ,
Criminal Prosecution ,
Defense Strategies ,
Department of Justice (DOJ) ,
Document Productions ,
Evidence ,
Government Entities ,
Government Investigations ,
Grand Juries ,
Subpoenas ,
Target Letters ,
Testimony ,
Witness
When the COVID-19 crisis struck in early 2020, the immediate need for mass quantities of personal protective equipment (PPE) resulted in major supply shortages that made headlines across the country. As suppliers scrambled to...more
12/28/2020
/ Coronavirus/COVID-19 ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
FBI ,
Fraud ,
Health and Safety ,
Health Care Providers ,
Medical Supplies ,
Personal Protective Equipment ,
Price Gouging ,
Suppliers ,
Supply Chain
Tips on Preparing to Defend Against Allegations of SBA Loan Fraud During the COVID-19 Crisis -
Federal emergency relief legislation—including the Coronavirus Aid, Recovery, and Economic Security Act (“CARES Act”)—has...more
8/28/2020
/ CARES Act ,
Coronavirus/COVID-19 ,
Criminal Conspiracy ,
Criminal Investigations ,
Defense Strategies ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
False Statements ,
FBI ,
Fraud ,
Identity Theft ,
Indictments ,
IRS ,
Loans ,
Mail Fraud ,
Misrepresentation ,
Paycheck Protection Program (PPP) ,
Risk Assessment ,
Risk Mitigation ,
SBA ,
Small Business ,
Small Business Loans ,
Tax Evasion ,
Wire Fraud
- A tone-at-the-top business culture with CEO leadership is a critical component of effective anti-corruption and anti-bribery policy implementation.
- CEO leadership helps set an example for lower management and company...more
7/24/2020
/ Anti-Bribery ,
Anti-Corruption ,
CEOs ,
CFTC ,
Civil Monetary Penalty ,
Compliance ,
Corporate Counsel ,
Criminal Convictions ,
Criminal Investigations ,
Criminal Penalties ,
Department of Justice (DOJ) ,
Due Diligence ,
Duty to Preserve ,
Employee Training ,
Ethics ,
Failure to Comply ,
FBI ,
Foreign Corrupt Practices Act (FCPA) ,
Internal Audit Functions ,
Leadership ,
Meals-Gifts-and Entertainment Rules ,
Policies and Procedures ,
Securities and Exchange Commission (SEC) ,
Self-Reporting ,
Tone At The Top
While there has been a lot of controversy in the media surrounding the Paycheck Protection Program (PPP), there is no question that the program has served as an invaluable lifeline to many small and medium-sized businesses...more
7/16/2020
/ Audits ,
Bank Fraud ,
Business Ownership ,
CARES Act ,
Civil Liability ,
Criminal Conspiracy ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
False Statements ,
Fraud ,
Government Investigations ,
IRS ,
Paycheck Protection Program (PPP) ,
Penalties ,
SBA ,
Small Business Loans ,
Tax Evasion ,
Treble Damages ,
Wire Fraud
How much of the Paycheck Protection Program (“PPP”) will end up in the hands of bad actors? With several hundreds of billions of dollars in the PPP bucket, fraud, misuse, and misdirection of funds is already being identified...more
7/13/2020
/ Bad Actors ,
CARES Act ,
Cross-Border Transactions ,
Department of Justice (DOJ) ,
FBI ,
Federal Loans ,
Foreign Financial Accounts ,
Fraud ,
Fraudulent Transfers ,
Government Investigations ,
Identity Theft ,
Law Enforcement ,
Loan Applications ,
Misuse or Misdirection of Funds ,
Offshore Funds ,
Paycheck Protection Program (PPP)