Author name: Barrett Johnston Martin & Garrison, PLLC

Queens Adult Day Care and Pharmacy Medicare & Medicaid Fraud Charges in $120M Scheme Federal prosecutors in the Eastern District of New York have unsealed a complaint charging Inwoo Kim and Daniel Lee, two men from Queens, with operating a major Medicare and Medicaid fraud scheme that allegedly siphoned approximately $120 million from taxpayer-funded health […]

MultiCare Health System has agreed to pay $3.728 million to resolve allegations under the False Claims Act that it knowingly endangered patient safety and submitted fraudulent billing to Medicare, Medicaid, and other federal healthcare programs for medically unnecessary spinal surgeries performed at its facilities. The settlement announced by the U.S. Attorney’s Office for the Eastern

A federal court in the Middle District of North Carolina has sentenced Kathy Briggs, 65, to 24 months in prison, followed by 13 months of home detention and two years of supervised release, for her role in a multimillion-dollar Medicaid fraud scheme. Briggs pled guilty to one count of health care fraud related to fraudulent

A North Carolina physician, Dr. Steven L. Mendelsohn, has agreed to pay $549,554.26 to resolve allegations under the False Claims Act that he submitted reimbursement claims to Medicare for arthritis drugs that were not approved by the Food and Drug Administration (FDA). According to the U.S. Attorney’s Office for the Western District of North Carolina,

A federal court in the Central District of California recently ruled against JMG Investments Inc. and its owner, Jeffrey Schwartz, finding that they violated the False Claims Act by improperly obtaining and retaining duplicate Paycheck Protection Program (PPP) loans during the COVID-19 pandemic. The court ordered the rehab center and its owner to pay $1,565,294.38

The U.S. Department of Justice has announced that False Claims Act (FCA) settlements and judgments exceeded $6.8 billion in fiscal year 2025, the highest annual total in the statute’s history. More than $5.7 billion of this record level of recovery stemmed from healthcare fraud-related matters, demonstrating the government’s continued emphasis on policing improper billing, unlawful

Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they violated the False Claims Act by submitting inaccurate diagnosis codes in connection with Medicare Advantage risk adjustment payments. The settlement announced in January 2026 resolves consolidated government and whistleblower-led complaints, which allege that Kaiser systematically pressured physicians to add diagnoses

Federal prosecutors in the Southern District of Texas have secured substantial prison sentences for two healthcare employees convicted in a multimillion-dollar fraud scheme that targeted elderly and vulnerable patients at adult day care facilities. A federal jury found Dr. Osama Nahas and clinic employee Isabel Pruneda guilty of conspiracy to commit healthcare fraud, healthcare fraud,

The Pennsylvania Attorney General’s Office recently secured a prison sentence against a former office manager involved in a substantial Medicaid fraud scheme tied to a Montgomery County home care provider. Barbara Thomas, 46, was sentenced in Montgomery County Court to 9 to 23 months in prison followed by four years of probation after pleading guilty