Healthcare Fraud in the Eastern District of Texas

If you run a healthcare practice, DME company, home health agency, or telehealth platform in East Texas, federal fraud enforcement is a regional reality. The Eastern District prosecutes healthcare fraud constantly — and DOJ’s new National Fraud Enforcement Division has only increased the pace.

The statutes that drive these cases:

— 18 U.S.C. § 1347 — healthcare fraud. Up to 10 years, more with serious injury.

— 42 U.S.C. § 1320a-7b — Anti-Kickback Statute. Reaches “marketer” payments and referral arrangements.

— 18 U.S.C. § 1349 — conspiracy.

— 18 U.S.C. § 1957 — money laundering once proceeds move.

— 31 U.S.C. § 3729 — civil False Claims Act, the parallel track.

Common East Texas case profiles: DME with telemedicine signatures, skin substitute claims, home health certification fraud, pain management patterns, telehealth platforms running unnecessary orders, and toxicology lab schemes.

CMS data analytics flag billing outliers. Former employees cooperate. Search warrants on EHR and email produce contemporaneous documentation. By the time an audit notice or subpoena lands, the government often has the picture.