Category Archives: Health Care Fraud

Health Care Fraud Defense: Arrests Based Upon Medicare, Medicaid, or TriCare Insurance Claims

Defending Against Allegations of Fraudulent Billing to Federal Benefit Programs Health care providers in the State of Texas seeking reimbursement or payment for services rendered to persons in their care or charge must understand they are vulnerable to investigation and prosecution by either federal or state law enforcement for health care fraud crimes.  Suspicion can…

Loss Amounts in Federal Sentences: Calculating Economic and Financial Losses in Federal Felonies

Federal Sentencing Guideline 2B1.1 explains how to calculate monetary loss in a variety of crimes, such as tax evasion, structuring, wire fraud, money laundering, and mortgage fraud. Financial crimes prosecuted by the federal government usually involve a lot of money that builds into a large economic loss for its victims.  Criminal creativity being what it…

Federal Crimes and Sentencing Guidelines: Health Care Fraud

Federal Charges for Healthcare Fraud Involving Texas Health Care Providers Texas physicians, as well as pharmacists, clinics, and other health care providers, need to be aware of the growing risk of investigation, arrest, and prosecution for violations of federal criminal laws involving health care fraud. Federal criminal law applying to the practice of medicine in…

The 2018 Boom in Physician Arrests: Characteristics of the Arrested Doctor

It’s happening:  more and more doctors are being arrested and imprisoned on federal charges.  This isn’t a shocker, we’ve been warning about it for a while now.  For details and background info, check out: Health Care Fraud Prosecutions in 2018: Money and Drugs Doctors in Texas Alert: Feds Are Targeting Health Care Fraud Arrests Doctor…


WHITE COLLAR CRIME: INDICTMENTS OF TEXAS PROFESSIONALS

When Suits Are Arrested White collar crime prosecutions for various kinds of fraud, among other things, are popping up all over Texas right now.  Professionals in nice suits and enjoying swanky life styles are getting  arrested and charged for all sorts of felonies.   What is White Collar Crime? You probably know more about “white collar…


The New DEA Drug Report: Drug Cartels, Doctors, and Health Care Fraud

The 2016 National Drug Threat Assessment Report from the Drug Enforcement Administration has been released. The biggest problem: controlled prescription drugs.  This month, the latest annual report from the Drug Enforcement Administration (DEA) has been released.  It’s filled with information concerning illegal drugs like heroin and street drugs like synthetic marijuana. Read the complete 2016…


Arresting Texas Doctors for Health Care Fraud: What You Need to Know

If you are a practicing physician here in North Texas, then you need to recognize how very, very serious the federal government is in targeting health care fraud.  The Justice Department is eager to find and arrest doctors, as well as other professionals, on all sorts of federal felony charges based upon fraud involving health…


Health Care Fraud: 21 Indictments in Forest Park Medical Center Case

Last Thursday here in Dallas, the seal on a November 16, 2016, federal grand jury indictment was removed.  The unsealed indictment’s revelations hit the medical community of North Texas (and probably the rest of the state) like a tsunami.   Forest Park Medical Center Fraud Indictment Unsealed It’s the Indictment filed in Case No. 3-16CR-0516D…


Medicaid Fraud Is Big (BIG) Target of Both Federal Authorities and Texas Law Enforcement in 2013

Health care fraud — fake billing to Medicare or Medicaid — can be very profitable for doctors, dentists, hospitals, care facilities, home health care providers, equipment suppliers: really, it’s a big temptation for anyone who is in a position to file a payment request to either federal government health care program. Which means that both…