Tag: DOJ

DOJ Steps into Whistleblower Lawsuit Against SelectQuote Over Medicare Advantage Sales Practices

DOJ Steps into Whistleblower Lawsuit Against SelectQuote Over Medicare Advantage Sales Practices

SelectQuote faces DOJ and class-action lawsuits over alleged deceptive Medicare Advantage sales practices, impacting stock prices and raising compliance concerns.

Illinois Brothers Indicted for $300 Million COVID-19 Health Care Fraud Scheme

Two Illinois brothers indicted for a $300 million COVID-19 testing fraud targeting Medicare, Medicaid, and private insurers with health care fraud and money laundering charges.

Michigan Pharmacist Sentenced for $4M Medicare Fraud Scheme

Michigan pharmacist sentenced to 46 months for $4M Medicare fraud involving phantom prescriptions. DOJ Health Care Fraud Strike Force prosecuted the case.

Georgia Man Sentenced for $7.2M Medicare Genetic Testing Kickback Scheme

Patrick C. Moore Jr. sentenced to 46 months and ordered to pay $7.2 million for leading a Medicare genetic testing kickback scheme involving medically unnecessary tests. DOJ and HHS-OIG investigations highlight DOJ's ongoing enforcement against health care fraud.

Massachusetts Man Pleads Guilty in $4M Medicare DME Fraud Scheme

Krishna Gidwani pleaded guilty to conspiracy in a $4M Medicare fraud involving durable medical equipment. Part of DOJ's 2025 National Health Care Fraud Takedown.

DOJ-HHS Relaunches False Claims Act Working Group to Intensify Healthcare Fraud Enforcement

The DOJ and HHS have reestablished the False Claims Act Working Group to heighten enforcement of healthcare fraud, focusing on Medicare, Medicaid, pricing, and EHR compliance risks.

DOJ and HHS Form Working Group to Enhance False Claims Act Enforcement in Healthcare

The DOJ and HHS have established a joint False Claims Act Working Group to strengthen healthcare fraud investigations using advanced data analytics and interagency cooperation.

DOJ and HHS Launch Joint Working Group to Boost False Claims Act Enforcement in Healthcare

In July 2025, DOJ and HHS formed a joint Working Group to intensify False Claims Act enforcement, focusing on data-driven investigations and payment suspensions in healthcare fraud cases.

DOJ and HHS Relaunch False Claims Act Working Group to Target Healthcare Fraud

The DOJ and HHS reestablish the False Claims Act Working Group to enhance enforcement against healthcare fraud and abuse in federal programs, emphasizing compliance and whistleblower roles.

DOJ Unveils Largest U.S. Healthcare Fraud Takedown Targeting Medicare and Medicaid

The DOJ and federal agencies announced the largest healthcare fraud crackdown in U.S. history, charging 324 defendants for $14.6 billion in false Medicare and Medicaid claims, signaling increased enforcement on healthcare compliance.