Health First Urgent Care Settles $2.8M Medicare Medicaid Overbilling Case
Health First Urgent Care agrees to $2.8 million settlement for Medicare and Medicaid overbilling linked to improper diagnostic test billing practices in Washington State.
Healthcare Fraud Crackdowns Accelerate as DOJ Supercharges Strike Force Reaction
The DOJ expands its Health Care Fraud Strike Force to Massachusetts, enhancing multi-agency efforts against healthcare fraud and corporate misconduct in the healthcare sector.
Freedom Health Settles Medicare Advantage False Claims for $31.7M
Freedom Health agreed to pay $31.7M to settle allegations of False Claims Act violations relating to Medicare Advantage payment schemes. The settlement underscores regulatory enforcement in managed care and Medicare compliance.
DOJ Sues California Medicaid Plan Over $320M Misused Federal Funds
The DOJ sues Inland Empire Health Plan for allegedly misusing $320 million in federal Medicaid surplus funds, highlighting compliance challenges in managed care programs.
Court Awards Attorney Fees to FCA Defendants Due to Relator's Fraudulent Conduct
A Massachusetts court awarded attorneys' fees to FCA defendants after finding relator engaged in fraudulent conduct by ordering unnecessary PCR tests to support whistleblower claims under the False Claims Act.
Skilled Nursing Improper Payments Double Medicare Average; Compliance Vital
2024 report shows skilled nursing improper payments at 17.2%, double Medicare average. Strong compliance and thorough documentation crucial to avoid audits and fraud allegations.
Eye Consultants of Pennsylvania Settles for $790K Over Medicare Billing Violations
Eye Consultants of Pennsylvania agrees to $790,000 settlement over False Claims Act violations involving Medicare E&M billing irregularities. Federal enforcement underscores commitment to Medicare compliance.
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.