Blog - Archive for Fraud Investigation

On August 1, 2024, The Department of Justice (DOJ) Criminal Division began a three-year Corporate Whistleblower Awards Pilot Program in its efforts to prosecute corporate crimes. The pilot program offers large financial payouts to whistleblowers who turn over original and truthful information related to financial crime, bribery, foreign corruption involving corporate misconduct, and health care Read more →

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The Firm successfully defended the license of a Florida registered nurse wrongfully accused of obtaining her nursing license by fraud. The RN was one of many victims of a scam carried out by a criminal syndicate currently being prosecuted by the U.S. Department of Justice that involved alleged fraudulent nursing school transcripts and diplomas. The Read more →

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The Agency for Health Care Administration (AHCA) is the state agency responsible for the licensure and regulation of health care providers in Florida as well as the administration and regulation of the state Medicaid program. Maintaining compliance with AHCA is extremely important for professionals in the healthcare industry and can oftentimes be challenging to navigate Read more →

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The U.S. Attorney’s office for the Southern District of Florida has announced its pursuit of a fraudulent scheme whereby the administrators of three Florida nursing schools, along with employees at several nursing test prep academies in other states allegedly “created an illegal licensing and employment shortcut for aspiring nurses.” The scheme involved the selling of Read more →

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Recently, the Centers for Medicare & Medicaid Services (CMS) proposed a crucial revision to the 60-day overpayment rule, which could have a profound impact on Medicare participating providers and entities. Understanding these proposed changes is essential for healthcare providers to ensure compliance and avoid potential liability Current Overpayment Refund Rule Generally speaking, a provider must Read more →

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