Wound Care Fraud Indictments in DOJ's 2026 Takedown: Four Skin Substitute Cases Explained
DOJ's 2026 National Health Care Fraud Takedown charged four wound care fraud cases, United States v. Cardenas, Tesar, Yukee, and McMillan, alleging more than $1.3 billion in fraudulent amniotic allograft claims. Former DOJ Fraud Section prosecutors analyze the charges, the government's theories, and where each indictment is vulnerable.
Home Health Certification in Federal Fraud Cases: OASIS, Homebound Status, Face-to-Face Encounter
Analysis of the Medicare home health certification process in federal criminal fraud cases. Covers the face-to-face encounter under 42 C.F.R. 424.22, OASIS assessment scoring under PDGM, homebound status certification, CMS-485 physician certification, LCD compliance, and defense strategies including cross-examination of beneficiary witnesses who received undisclosed kickback payments. By former DOJ Fraud Section prosecutors.