Category Archives: Healthcare Fraud
Case Study: California Clinic Operators Lose Medical License, Face Restitution, and Are Sentenced to Over Five Years in Prison
Healthcare fraud prosecutions in California are among the most serious and complex cases in the criminal justice system. They involve vast amounts of money, complicated billing and documentation practices, and an intricate web of state and federal regulations. When the government decides to pursue healthcare fraud charges, it brings to bear the full weight… Read More »
Physician Sentenced in Medicare Fraud Scheme: Case Study Lessons for California Healthcare Providers
In June of this year, the United States Department of Justice was proud to announce a four-and-a-half-year prison sentence for a Southern California physician convicted of making false home health certifications and sending fraudulent bills to Medicare. The doctor was also ordered to make nearly $1.5 million in restitution payments to the government. The… Read More »
The 2025 National Healthcare Fraud Takedown and What It Means for California Providers Facing Federal Charges
In June 2025, the U.S. Department of Justice (DOJ), in coordination with the Department of Health and Human Services (HHS) and federal and state law enforcement agencies nationwide, announced what it described as the largest coordinated healthcare fraud takedown to date. According to the DOJ, 324 defendants were charged across the country in schemes… Read More »
Civil vs. Criminal Healthcare Fraud Offenses
Healthcare fraud is a major focus of both federal and state enforcement agencies. In California, healthcare providers, from doctors and pharmacists to durable medical equipment suppliers and home health agencies, can face allegations of fraud under either civil or criminal law. While both types of cases carry serious consequences, there are important differences in… Read More »
Case Study: Federal Healthcare Fraud Charges Filed Against California Medical Equipment Provider and Others
When the U.S. Department of Justice (DOJ) announces criminal charges, it’s important to remember one thing: charges are not convictions. Federal prosecutors may issue sweeping press releases detailing alleged misconduct, but in the eyes of the law, every defendant is presumed innocent unless and until proven guilty beyond a reasonable doubt in court. Recently,… Read More »
The Hidden Penalties of a Healthcare Fraud Conviction
When most people think about the consequences of a healthcare fraud conviction, they tend to focus on the obvious: possible prison time and steep financial penalties. While those outcomes are certainly serious, the impact of a conviction often goes much deeper. The hidden penalties—those that aren’t always discussed in the courtroom—can have long-lasting, life-altering… Read More »
Technology and Healthcare Fraud: A Double-Edged Sword
In the modern healthcare landscape, technology is indispensable. Electronic health records (EHRs), billing software, telemedicine platforms, and data analytics tools have revolutionized patient care and administrative efficiency. But the same digital tools that streamline operations also open the door to new forms of fraud. In many ways, technology is a double-edged sword in healthcare—used… Read More »