health care worker

Common Types of Health Care Fraud

Health care fraud can take many forms, but there are common types of health care fraud schemes frequently prosecuted by the Department of Justice (“DOJ”). It is also a frequent subject of False Claims Act (“FCA”) qui tam suits. FCA actions have resulted in the recovery of billions of dollars on...

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Who Leads Health Care Prosecutions?

Health care fraud prosecutions are led by three groups of prosecutors. 

Most investigations will be handled by a local U.S. Attorney’s office. In U.S. Attorney’s offices across the country, each district has a designated health care fraud coordinator to handle criminal and civil investigations. Although they are based out...

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COVID Fraud and DOJ Enforcement

In 2020, the government launched an unprecedented response to the global COVID-19 pandemic. With the expansion and creation of government assistances programs also comes a new area of government enforcement. Individuals and businesses who received federal assistance, including support through the Paycheck Protection Program (“PPP”), Economic Injury Disaster Loan (“EIDL”), or any...

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