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Tag Archives: qui tam

July 10

New York Medicaid Fraud: AG James Nets $13M from Fake Medical Transportation Billing

On June 30, 2025, New York Attorney General (NYAG) Letitia James announced that her office successfully investigated 25 transportation companies for billing Medicaid for fraudulent trips, such as nonexistent rides, inflated mileage, and illegal patient kickbacks, securing over $13 million in settlements. How Transportation Companies Committed Billing Fraud Millions of New Yorkers rely on Medicaid and Medicaid-covered services, including transportation to and from healthcare facilities. Unfortunately, some companies have taken…

July 03

Whistleblowers, FCA Qui Tam

DOJ Secures Sentences in $30 Million COVID-19 Unemployment Fraud Scheme

On May 23, 2025, the Department of Justice (“DOJ”) announced that three co-conspirators were sentenced to up to 15 years in prison and ordered to pay restitution after being found guilty of defrauding the Georgia Department of Labor (“GDOL”) of more than $30 million in a COVID-era scheme. Macovian Doston, Shatara Hubbard, and Torella Wynn fraudulently submitted over 5,000 unemployment insurance (“UI”) claims, taking advantage of UI programs expanded through…

July 02

FCA Qui Tam, Whistleblowers

$9.2 Million Healthcare Kickback Settlement Highlights Ongoing FCA Enforcement

A recent $9.2 million settlement by hospice company Creative Hospice Care, Inc. Illustrates the power of the False Claims Act (“FCA”) in combating healthcare fraud. In 2024, the Department of Health and Human Services collected recoveries totaling $1.67 billion from FCA cases. How does the Anti-Kickback Statute intersect with False Claims Act enforcement? The False Claims Act (“FCA”), 31 U.S.C. § 3729, et seq., is a civil war era statute…

July 01

FCA Qui Tam, Whistleblowers

HHS–OIG Flags $16.6 B in Healthcare Fraud in the Spring 2025 Semiannual Report to Congress

The Department of Health & Human Services (“HHS”) Office of Inspector General (“OIG”) is responsible for overseeing the department and promoting and maintaining the efficiency, effectiveness, and integrity of its programs. On June 2, 2025, HHS-OIG released its Spring 2025 Semiannual Report to Congress, summarizing HHS activities for the 6-month period between October 1, 2024, and March 31, 2025. The Spring 2025 Report (the “Report”) identified more than $16.6 billion…

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