Business Torts, Health Law, Administrative Law

Chancery Court Finds Management Services Agreement Key in Establishing Jurisdiction

by King & Spalding on 11/3/2012

On August 28, 2012, the Delaware Court of Chancery found that a management services agreement could help establish both personal jurisdiction through a conspiracy to defraud and joint and several liability through an agency...more

Government Warns Hospitals on Using Electronic Medical Records to Engage in Fraudulent Billing

by Snell & Wilmer L.L.P. on 10/1/2012

On September 24, 2012, the U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice (DOJ) wrote a joint letter to the Chief Executive Officers of five prominent hospital associations. The letter...more

DOJ Takes New Tack on Hospital Recoupments: Implantable Cardiac Defibrillators

by Foley Hoag LLP on 9/5/2012

The U.S. Department of Justice has sent emails to hospitals across the country regarding implantable cardioverter defibrillators, asking the hospitals to self-audit and estimate possible penalties under the False Claims Act....more

Health Law Alert: In False Claims Litigation, Providers Cannot Invoke "No Harm, No Foul"

by Ober|Kaler on 7/5/2012

On the basketball court, the conventional wisdom is "no harm, no foul." It is not so in federal court, particularly in litigation involving the False Claims Act (FCA). The FCA allows the imposition of civil monetary...more

GlaxoSmithKline Settlement Puts Healthcare Industry on Notice

by LEVICK on 7/3/2012

With the Justice Department’s announcement that GlaxoSmithKline will pay $3 billion in the largest healthcare fraud settlement in U.S. history, all drug companies – and any other businesses working in healthcare or...more

New Law Extends Georgia False Claims Liability to Non-Medicaid Claims: Significant Revisions Also Made to Existing State False...

by King & Spalding on 5/16/2012

Introduction On April 16, 2012, Georgia Governor Nathan Deal signed into law House Bill 822, thereby enacting the new “Georgia Taxpayer Protection False Claims Act,” while also making significant revisions to the...more

First Circuit’s Oral Argument in Rost Revisits Prior Case Law Expanding False Claims Act Liability

by Ropes & Gray LLP on 5/14/2012

On May 8, 2012, the United States Court of Appeals for the First Circuit heard oral arguments in United States ex rel. Rost v. Pfizer, Inc. (10-2215). The central issues in the case are whether compliance with the federal...more

Medicare Strike Force Team Charges 107 Individuals for Approximately $452 Million in False Billing

by King & Spalding on 5/9/2012

On May 2, DOJ and HHS announced charges against 107 individuals, including doctors, nurses and other licensed medical professionals, across the country for allegedly participating in Medicare fraud schemes totaling $452...more

Health Care Enforcement: 2012 Trends Quarterly Review — Part IV in a Continuing Series on Health Care Enforcement

by Mintz Levin - Health Law on 5/9/2012

Introduction Mintz Levin’s Health Care Fraud Enforcement Defense group has published a series of “Year in Review” articles discussing its observations about health care fraud enforcement trends in 2011 and its opinions...more

Medicare Fraud Strike Force Bust Involves Highest Amount of False Billings in a Single Takedown

by Mintz Levin - Health Law on 5/4/2012

2012 is already a record-breaking year in health care fraud enforcement. This week Attorney General Eric Holder and Secretary of the Department of Health and Human Services (HHS) Kathleen Sebelius announced the biggest...more

Open Letter from Senate Finance Committee Seeks Fraud-Fighting Input

by Mintz Levin - Health Law on 5/3/2012

Yesterday the Senate Finance Committee posted an open letter on its website to the health care sector soliciting industry stakeholder insights on ways to combat fraud, waste, and abuse in the Medicare and Medicaid programs. ...more

Senate Committee Holds Hearing on Health Care Fraud Enforcement

by Mintz Levin - Health Law on 4/26/2012

A hearing titled Anatomy of a Fraud Bust: From Investigation to Conviction held by the Senate Committee on Finance (Committee) on April 24th allowed federal health care agencies to both tout their fraud-fighting successes,...more

Tenet Will Pay $42.75 Million to Settle Inpatient Rehabilitation Admissions Investigation

by King & Spalding on 4/19/2012

On April 10, 2012, the DOJ announced that Tenet Healthcare Corporation will pay $42.75 million to settle civil allegations that Tenet violated the False Claims Act by improperly billing CMS for services provided at inpatient...more

Denver Health Medical Center Settles FCA Short Stay Suit for $6.3 Million

by King & Spalding on 1/19/2012

Denver Health and Hospital Authority, d/b/a Denver Health Medical Center (DHMC), has agreed to pay $6.3 million to settle a False Claims Act suit alleging that, between 2006 and 2009, it “submitted false claims to Medicare...more

Pfizer Agrees to Pay $14.5 to Settle False Claims Act Lawsuit for Improperly Marketing Detrol

by Howard Ankin on 12/2/2011

Pfizer has agreed to pay $14.5 million to settle a lawsuit alleging that it violated the False Claims Act by improperly marketing its prescription drugs Detrol and Detrol LA. The lawsuit was filed by whistleblowers on behalf...more

DOJ Escalates Its War on Health Care Fraud: GlaxoSmithKline Agrees to Pay Record-setting $3 Billion to Settle U.S. Investigations

by Morrison & Foerster LLP on 11/8/2011

British pharmaceutical company GlaxoSmithKline (GSK) announced on November 3, 2011, that it had reached an agreement in principle with the United States government to resolve multiple federal investigations regarding the...more

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Business Torts › Health Law › Administrative Law

Chancery Court Finds Management Services Agreement Key in Establishing Jurisdiction

Government Warns Hospitals on Using Electronic Medical Records to Engage in Fraudulent Billing

DOJ Takes New Tack on Hospital Recoupments: Implantable Cardiac Defibrillators

Health Law Alert: In False Claims Litigation, Providers Cannot Invoke "No Harm, No Foul"

GlaxoSmithKline Settlement Puts Healthcare Industry on Notice

New Law Extends Georgia False Claims Liability to Non-Medicaid Claims: Significant Revisions Also Made to Existing State False...

First Circuit’s Oral Argument in Rost Revisits Prior Case Law Expanding False Claims Act Liability

Medicare Strike Force Team Charges 107 Individuals for Approximately $452 Million in False Billing

Health Care Enforcement: 2012 Trends Quarterly Review — Part IV in a Continuing Series on Health Care Enforcement

Medicare Fraud Strike Force Bust Involves Highest Amount of False Billings in a Single Takedown

Open Letter from Senate Finance Committee Seeks Fraud-Fighting Input

Senate Committee Holds Hearing on Health Care Fraud Enforcement

Tenet Will Pay $42.75 Million to Settle Inpatient Rehabilitation Admissions Investigation

Denver Health Medical Center Settles FCA Short Stay Suit for $6.3 Million

Pfizer Agrees to Pay $14.5 to Settle False Claims Act Lawsuit for Improperly Marketing Detrol

DOJ Escalates Its War on Health Care Fraud: GlaxoSmithKline Agrees to Pay Record-setting $3 Billion to Settle U.S. Investigations

Health Law Alert: OIG Ceases Exclusion Efforts Against Forrest Labs CEO - Not All Corporate Officers

Legal Update: Case Developments in New York that Affect MSPs

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