A Road Map to DOJ Enforcement Actions
When the DOJ evaluates a fraud case, it will make it a priority to evaluate the role executive leadership played…
DOJ Continues Its Crackdown on Clinical Laboratory Fraud
Remember to register for the complimentary SAI Global Webinar on “Evidencing Compliance Program Effectiveness (sai360.com),” which will be held on…
Evidencing Compliance Education and Training Effectiveness
Compliance Program Guidance documents issued by the Department of Health and Human Services Office of Inspector General (OIG) call for…
DOJ Summarizes 2021 Settlements and Judgements
Key Points in DOJ Summarizes 2021 Settlements and Judgements Over $5.6 Billion False Claims Act Settlements Vast majority of cases…
What Compliance Officers Should Do When DOJ or OIG Enforcement Is Imminent
What Organizations Should ExpectWhat Steps to Take Before Settlement When organizations become aware they are the subject of an impending…
$160 Million Medicare Fraud Settlement for Diabetic Testing Supplier
Whistleblower to receive $28.5 million of recovery. The Department of Justice (DOJ) announced that Arriva Medical LLC (Arriva), which was once the…
DOJ Intervenes in Whistleblower Suits Against Kaiser Permanente
Six complaints allege submission of inaccurate diagnosis codes. The Department of Justice (DOJ) intervened in multiple whistleblower complaints alleging that…
DOJ Reports Sentencing of Two Physicians to Prison for Prescription Fraud
The United States Department of Justice (DOJ) announced that two Arkansas physicians were sentenced to a combined 12 and a…
Criminal Charges Related to COVID-19 Pandemic Brought Against Defendants Across the Country
Telemedicine Executive, Physician, Marketers, and Medical Business Owners Charged in Fraud Schemes Involving $143 Million in Losses. The Department of…
Subjects Sentenced in $150 Million Hospice Fraud Case
3 Categories of Hospice Fraud The three major categories of hospice fraud are: (1) false claims for unnecessary, improperly delivered,…
DOJ Fraud Section Issues 2020 Report
The Fraud Section of the United States Department of Justice (DOJ) issued its 2020 Year in Review report. It notes that…
Compliance Root Cause Analysis
DOJ Guidelines encourage seeking independent evidence of root cause identification and remediation. The Department of Justice (DOJ) has indicated that…