In 2025, the Department of Justice’s National Health Care Fraud Takedown led to criminal charges against 324 defendants and $14.6 billion in intended losses.
Continue Reading Genetic Testing Fraud: Why CMS and DOJ Are Increasing ScrutinyDOJ’s Expanding Healthcare Fraud Enforcement Efforts
I recently provided insight for a Modern Healthcare article that examines the Department of Justice’s (DOJ) increased healthcare fraud enforcement efforts and growing use of artificial intelligence (AI) and data analytics in civil investigations. While whistleblower complaints continue to account for a substantial share of False Claims Act recoveries, the article highlights how enforcement agencies are increasingly using technology to identify billing outliers and support government-initiated investigations.
Continue Reading DOJ’s Expanding Healthcare Fraud Enforcement EffortsInsight on “Illegal DEI” as FCA Trigger at Federal Bar Association’s Qui Tam Conference
I recently participated in a panel discussion at the Federal Bar Association’s 2026 Qui Tam Conference focused on “‘Illegal DEI’ as an FCA Trigger.” We explored the scope of False Claims Act (FCA) enforcement under the Department of Justice’s (DOJ) Civil Rights Fraud Initiative and recent executive actions addressing “illegal DEI [diversity, equity and inclusion].” In addition to law firm attorneys, our panel included a speaker from the DOJ.
Continue Reading Insight on “Illegal DEI” as FCA Trigger at Federal Bar Association’s Qui Tam ConferenceWatch Now | Healthcare Fraud & Abuse Annual Review Webinar
Bass, Berry & Sims released its 14th Annual Healthcare Fraud & Abuse Review in mid-February. As a companion to the Review, hosted a complimentary webinar, which provided an overview and discussion of key focus areas covered in the Review.
Continue Reading Watch Now | Healthcare Fraud & Abuse Annual Review WebinarCracking Down on Customs Fraud: How the False Claims Act Raises the Stakes for Importers
The federal government’s growing use of the False Claims Act (FCA) to pursue customs fraud signals a new era of trade enforcement, with importers facing heightened scrutiny and increased risk of whistleblower actions.
Continue Reading Cracking Down on Customs Fraud: How the False Claims Act Raises the Stakes for ImportersExploring the DOJ’s Use of AI in Healthcare Fraud Enforcement
TIn one of its largest coordinated enforcement efforts to date, the Department of Justice recently announced charges against more than 300 defendants in connection with alleged healthcare fraud schemes.
Continue Reading Exploring the DOJ’s Use of AI in Healthcare Fraud EnforcementWound Care in the Crosshairs: Reimbursements Risks Amid Skin Substitute Fraud Investigations
Effective wound care is critical for patients recovering from surgery or managing chronic or non-healing wounds. Advances in treatment have led to the development of skin substitutes—bioengineered or natural materials designed to promote healing by replacing or supporting damaged skin. While these innovations hold great promise for the future of wound care, they have also come under increased scrutiny by regulatory agencies and the Department of Justice (DOJ).
Continue Reading Wound Care in the Crosshairs: Reimbursements Risks Amid Skin Substitute Fraud InvestigationsHealthcare Fraud Enforcement Trends from 2024 and Projected Issues for 2025
I recently authored an article for the American Bar Association (ABA) Health Law Section regarding healthcare fraud enforcement trends in 2024 and the projected issues for 2025, which highlights the Department of Justice’s (DOJ) increasing focus on fraud, waste, and abuse.
Continue Reading Healthcare Fraud Enforcement Trends from 2024 and Projected Issues for 2025Planned Use of FCA to Enforce Civil Rights Fraud Initiative in Higher Education
I recently discussed the Trump administration’s plan to apply the False Claims Act (FCA) to enforce its Civil Rights Fraud Initiative, targeting diversity programs.
Continue Reading Planned Use of FCA to Enforce Civil Rights Fraud Initiative in Higher EducationDOJ’s Latest False Claims Act Customs Fraud Intervention
We authored an article for Law360 outlining a recent Department of Justice (DOJ) intervention in a False Claims Act (FCA) customs fraud matter.
Continue Reading DOJ’s Latest False Claims Act Customs Fraud Intervention