Last week, in light of the Department of Justice’s newly-formed COVID-19 Fraud Enforcement Task Force, we cautioned that COVID-related prosecutions were likely imminent. And on the heels of this DOJ task force, we are already...more
6/1/2021
/ Anti-Corruption ,
Coronavirus/COVID-19 ,
Corruption ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
Government Investigations ,
Healthcare Fraud ,
Infectious Diseases ,
Medicare ,
Telemedicine ,
Virus Testing ,
White Collar Crimes
While COVID continues to lose its grip across America, its focus within the Department of Justice is just getting started. On Monday, the DOJ Attorney General Merrick Garland announced the formation of a COVID-19 Fraud...more
For the past two years, telemedicine companies, durable medical equipment suppliers, pharmacies, and individuals and entities that market to such entities have been at the center of DOJ gunsights. In 2019, the Department...more
4/30/2021
/ Anti-Kickback Statute ,
Bribery ,
Department of Justice (DOJ) ,
Durable Medical Equipment ,
Enforcement Actions ,
Government Investigations ,
Healthcare Fraud ,
Medicaid ,
Medical Devices ,
Medicare ,
Medicare Fraud ,
Telehealth ,
Telemedicine ,
TRICARE
Last week, the United States Court of Appeals for the Fourth Circuit issued a significant ruling that a business owner who made a $4.5 million disgorgement deal with the SEC to resolve civil fraud claims cannot escape...more
While many businesses and government offices have closed or slowed as a result of the onset of COVID-19, the Securities and Exchange Commission remains open for business. On April 3, 2020, Sagar Teotia, the SEC’s Chief...more
On Thursday, AseraCare, a national hospice care provider, announced that it had settled a long-standing Medicare billing dispute with the DOJ, a case that has garnered nationwide attention in healthcare since 2008. At issue...more
3/5/2020
/ Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Government Investigations ,
Health Care Providers ,
Healthcare Fraud ,
Hospice ,
Medicare ,
Medicare Billing Privileges ,
Settlement Agreements ,
Statistical Sampling
On Tuesday, former New York State Assembly Speaker Sheldon Silver received a welcomed victory, albeit partial, in the Government’s long running prosecution accusing him of fraud, extortion and money laundering....more
1/24/2020
/ Bribery ,
Corruption ,
Criminal Convictions ,
Criminal Prosecution ,
Extortion ,
Fraud ,
Government Investigations ,
Governor McDonnell ,
Honest Services Fraud ,
McDonnell v US ,
Money Laundering ,
Official Act ,
Public Corruption ,
Public Officials ,
Statutory Interpretation ,
White Collar Crimes
Last month, Polsinelli highlighted a recent update to the Department of Justice (DOJ) Evaluation of Corporate Compliance Programs, which detailed how DOJ will evaluate the effectiveness of corporate compliance programs in the...more
Embraer SA, Brazil's flagship aerospace manufacturer and a worldwide competitor across various aviation markets, experienced first-hand the scope and reach of the Foreign Corrupt Practices Act (FCPA). Embraer agreed to pay...more
11/14/2016
/ Accounting Fraud ,
Aircraft Sales ,
Anti-Bribery ,
Bribery ,
Cooperative Compliance Regime ,
Corruption ,
Department of Justice (DOJ) ,
Embraer ,
Foreign Corrupt Practices Act (FCPA) ,
Foreign Official ,
India ,
Internal Controls ,
Saudi Arabia ,
Securities and Exchange Commission (SEC) ,
White Collar Crimes
Congress has acknowledged that the Stark law is standing in the way of the healthcare industry's transition to alternative, value-based payment models, and in turn, meaningful reform may soon be on the horizon.
Last...more
The Supreme Court of the United States in Universal Health Services, Inc. v. Escobar et al., weighed in on and embraced the implied certification theory of liability within the False Claims Act (FCA)....more
6/22/2016
/ False Claims Act (FCA) ,
False Implied Certification Theory ,
Federal Contractors ,
Health Care Providers ,
Implied Certification ,
Material Misrepresentation ,
Medicaid ,
Medicare ,
Mental Health ,
SCOTUS ,
Universal Health Services Inc v United States ex rel Escobar ,
Unlicensed Medical Providers