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"Takedown" alleged as largest ever in health care industry

We occasionally spotlight a discrete realm of concern that criminal law authorities are clearly focused upon in their investigatory probes and prosecutions.

And when we do that, many of our readers across Texas might duly note that news and reports centered on the health care arena are what frequently seem to come to the fore.

Spotlighted once again: feds' hard stance toward health care fraud

If there is one elevated certainty regarding the topic of fraud in the United States these days, denoted by a specific industry that is a bulls-eye target for the probes of federal and state investigators, it is this: Alleged wrongdoing in the health care realm is an apex concern of government regulators seeking to uncover and severely punish fraud-based behavior.

Many industry participants -- ranging widely from doctors, hospital administrators and billing offices to medical device makers, drug manufacturers and other care-related entities -- are certainly feeling the regulatory heat, which is undeniably far more scorching currently than it was in past years.

What is money laundering?

Money laundering is a crime that can have a range of serious consequences. It’s a concern within Texas as well as all over the world, and as a result it’s important to understand the basics to get a good grasp on the types of penalties that may occur if you’ve been charged with this financial crime.

According to Business Insider, there are some basic methods used to launder money, many of which entail complex schemes in order for the operation to go undetected. For instance, some people will utilize a third party who is responsible for making many small transactions to hide the source of the money. These people are typically referred to as “smurfs”, who receive cash via courier and then deposit it as the larger entity sees fit. The people involved in depositing and transferring money can become greedy, which often leads to opulent purchases that draw attention.

IRS focus on offshore tax evasion getting razor-sharp

There's nothing intuitively wrong about Americans holding money in overseas accounts, of course, provided that the Internal Revenue Service is privy to all material details.

The IRS is unquestionably a jealous mistress where tax-related matters are concerned, with nothing quite like an agency suspicion that payments are unlawfully being avoided to spur an official probe and, sometimes, a criminal indictment for tax fraud or evasion.

Understanding the Foreign Corrupt Practices Act

If you have made payments to government officials in other countries and are now being investigated, you may be in violation of the Foreign Corrupt Practices Act of 1977. While not all payments or entities are bound by the act, it's a good idea to understand what it is and what it aims to protect.

The Foreign Corrupt Practices Act of 1977 was created to make it illegal for certain people and entities to provide payments to foreign officials in exchange for retaining or obtaining their business. Essentially, it is not legal to bribe a foreign official to get him or her to work with your company or to keep him or her in support of your company.

Billing manipulation cited in prominent Medicare fraud litigation

This blog and other legal resources across the country have duly pointed out to readers for some time that the spotlighting and subsequent prosecution of fraud has been a top-shelf -- and progressively expanding -- focus of regulators in Texas and nationally for the past several years.

As we note on a fraud-defense page of our website at the proven Houston law firm of Hilder & Associates, P.C., "Federal and state governments have made the investigation and criminal prosecution of various frauds a high priority."

Commentary: white collar crime focus unrelenting

Given all the recent media headlines and attendant copy churned out regarding a U.S. Department of Justice focus on shored-up enforcement and application of so-called mandatory minimum sentencing rules in criminal cases, the DOJ's predominant crime-fighting emphasis going forward seems clear enough.

Is it really the case, though, that a professed departmental emphasis on combating drugs, violent offenses and illegal immigration will be so singular and predominant as to reasonably undermine investigatory and enforcement efforts in other areas?

What constitutes healthcare fraud? And what should the accused do first?

The federal government is increasingly aggressive about prosecuting fraud and eliminating waste in the healthcare industry. Additionally, insurance companies have their guard up, and whistleblower suits are on the rise.

While many fraudulent healthcare schemes are rudimentary -- for example, using patients' identities to bill Medicare, Medicaid and insurers for services never provided -- other schemes are more sophisticated.

World of the whistleblower: often misunderstood by many

For many people in Texas and elsewhere, the goings-on that surround so-called whistleblowing can seem to be hyper-complex and more than a bit murky.

And that is certainly understandable, for these and additional reasons: Phrases like "qui tam" and "relator" pop up; there is the potential for the government to either intervene in a whistleblower suit or pass on the matter; questions can arise as to which party was first to file a claim (a key consideration); and financial incentives for stepping forward as a whistleblower can range widely.

Big-name medical care provider targeted in DOJ fraud probe

Most of our readers in Houston and across Texas have likely heard the adage, "The bigger they are, the harder they fall."

When it comes to companies suffering material downsides from the adverse fallout linked with a criminal and/or regulatory fraud-connected probe, a corollary might readily be tacked on to that maxim.

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Contact Houston White Collar Lawyers for Experienced Representation

If you or your company is under investigation, charged or indicted for federal or state crimes, or you want to ensure future compliance, contact Hilder & Associates, P.C., for more information or to schedule an appointment with an experienced Houston white collar criminal defense lawyer.

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