Monthly Spotlight on Fraud, Waste, and Abuse

Why This Topic Matters

The article highlights current enforcement themes that can inform compliance programs, billing oversight, and fraud-prevention efforts across multiple healthcare settings.

Article Sections

1. Doctor Convicted for COVID-19 Healthcare Fraud Scheme

   A criminal healthcare fraud matter involving COVID-19 testing sites and submitted claims is summarized, along with the resulting conviction and legal exposure.

2. Neuroscience Company and Co-Founder/CEO to Pay $445,000 to Resolve False Claims Act Allegations Related to the Promotion of False Billing Codes

   A civil False Claims Act settlement concerns alleged promotion of billing practices tied to a brain-health device and related coding guidance issues.

3. Justice Department Announcing the Results of a Nationwide COVID-19 Fraud Enforcement Action

   This section summarizes a coordinated federal enforcement action addressing multiple categories of pandemic-related fraud across criminal, civil, and forfeiture matters.

4. Imperial Valley Doctor Admits Using Unapproved Cosmetic Drugs for Years

   A criminal case involving unapproved cosmetic drugs, interstate commerce, and related plea and forfeiture terms is described.

5. Michigan Doctor to Pay $6.5 Million to Resolve False Claims Act Allegations

   A civil settlement involving laboratory testing, sedation services, and medical equipment billing allegations is outlined.