gwb | Grubman Warner Berry

Health Care Fraud

Sep 22, 2026

Federal Court Orders New Trial in Anti-Kickback Case, Emphasizing Physician Independence and Proof of Improper Influence

A federal judge in the Northern District of Texas has granted a new trial to a laboratory owner convicted on healthcare kickback, conspiracy, and money-laundering charges, finding that the weight of the evidence did not support the jury’s conclusion that the defendant intended to improperly influence healthcare decisionmakers. The September 18, 2026, decision in United […]

Read More
May 27, 2026

CMS Imposes Nationwide Enrollment Moratoria on Hospice and Home Health Providers

What Happened On May 13, 2026, CMS imposed six-month nationwide enrollment moratoria on new Medicare enrollment for hospices and home health agencies (HHAs), one of the most sweeping provider enrollment actions in the agency’s history. Developed in coordination with Vice President Vance’s Anti-Fraud Task Force, the moratoria freeze all new initial enrollment applications and, critically, […]

Read More
May 21, 2026

Arizona Adopts “First-of-its-Kind” AI Fraud Detection Technology

Arizona is the latest state to step up its Medicaid fraud enforcement efforts. Arizona Governor Katie Hobbs recently announced that the state’s Medicaid agency would be utilizing the AI platform Alivia 360, in which she described as the “first-of-its-kind” AI-driven prepayment review system designed to detect potential fraud, waste, and abuse in real time. The […]

Read More
Feb 26, 2026

Arizona Hospital Agrees to Pay $5.6M to Resolve False Claims Act Allegations Related to AKS & Stark

On Tuesday February 24, 2026, the U.S. Department of Justice announced that an Arizona surgical hospital–Southwest Orthopedic and Spine Hospital, doing business as OASIS Hospital–as well as United Surgical Partners International (USPI) and a jointly-owned surgery center (Dignity/USP Phoenix Surgery Centers) agreed to pay $5.6 million to resolve allegations that they violated the False Claims […]

Read More

Get in Touch With Us

For more information or to arrange a consultation, please contact us by telephone at (404) 233-4171 or online by submitting the form below. The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship nor create an expectancy of a potential attorney-client relationship. Do not submit information which is confidential or time sensitive, as it may not be treated as such.