False Claims Act, Healthcare | JD Supra Law News

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

by Darby C. Allen, Donna S. Clark | BakerHostetler on 5/22/2013

On May 8, 2013, a jury in the Columbia Division of the U.S. District Court for the District of South Carolina returned a verdict finding that Tuomey Healthcare Systems, Inc. (Tuomey) violated the Stark Law and the federal...more

Jury Ruled in Tuomey Healthcare Retrial that the Hospital Violated the Stark Law and False Claims Act

by King & Spalding on 5/17/2013

On May 8, 2013, a jury concluded that Tuomey Healthcare System, Inc. (Tuomey), a community hospital in Sumter, S.C., violated the Stark law for allegedly improper compensation arrangements in 2005 between the hospital and 19...more

Five Takeaways from the OIG’s Special Advisory Bulletin on Exclusion

by Ellyn L. Sternfield | Mintz Levin - Health Law on 5/13/2013

This week the Office of Inspector General for the Department of Health and Human Services (“OIG”) issued an updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs, an...more

Law Enforcement In The Health Care Industry: What Do New Cases Against Novartis Tell Us?

by Jonathan Sack | Morvillo Abramowitz Grand Iason & Anello P.C.... on 5/9/2013

In recent years, pharmaceutical companies have faced criminal investigations and charges in regard to alleged off-label marketing of prescription drugs and kickbacks to doctors. For this reason, the filing last month of two...more

Self-Audit Results Found Sufficient to Sustain False Claims Act Complaint

by Robert Mazer | Ober|Kaler on 5/2/2013

District Court Finds That Medical Group’s Failure to Further Investigate Audit Results May Violate Requirement to Return Overpayments - Background - Internal audits of third-party payment claims – frequently...more

Sixth Circuit in MedQuest: No FCA Liability for Violation of Medicare Conditions of Participation Without Violation of Conditions...

by Calvin Marshall | Chambliss, Bahner & Stophel, P.C. on 4/26/2013

On April 1, 2013, the U.S. Court of Appeals for the Sixth Circuit overturned an $11.1 million False Claims Act (FCA) judgment by the U.S. District Court for the Middle District of Tennessee against MedQuest Associates, Inc.,...more

Health Reform + Related Health Policy News Update - April 2013

by Jane Arnold, Anika Clifton, Thomas Donohoe, Colleen M. Faddick, Matthew Murer, Alan K. Parver, Emily Wey | Polsinelli on 4/17/2013

In this Issue: - Top News ..Large Hospital Systems Settles for $25.5 Million for False Claims Act Allegations ..Catholics’ Challenge to Contraceptive Coverage Mandate Dismissed As Not Ripe - States...more

False Claims Act Focus - April 2013

by Mary Beth Bosco, Laurence Freedman, Michael Guiffre, Susan Baldwin Hendrix, Laura Laemmle-Weidenfeld | Patton Boggs LLP on 4/15/2013

EDITOR’S NOTE - The last few months have not failed to provide interesting False Claims Act (FCA) activity in the courts. We begin our newsletter by examining a case brought in the energy sector, alleging that a...more

$25.5 Million Settlement Agreement Reached Between Intermountain Health Care, Inc. and the United States Based on Self Disclosure...

by King & Spalding on 4/11/2013

On April 3, 2013, the Department of Justice (DOJ) and Intermountain Health Care, Inc. (Intermountain) entered into a settlement agreement resolving Intermountain’s potential liability under the Stark Law and False Claims Act....more

Sixth Circuit Rules No FCA Liability Based on Violation of Medicare Requirements

by Ellyn L. Sternfield | Mintz Levin - Health Law on 4/4/2013

On April 1st, the Sixth Circuit reversed an $11.1 million dollar summary judgment finding entered against MedQuest Associates, a diagnostic testing company. In its opinion, the Sixth Circuit found that violation of two...more

HEALTH REFORM: OIG Issues Updated Guidelines for Evaluating State False Claims Acts: Is More State Litigation on the Horizon?

by George Breen, Daniel C. Fundakowski, Wendy C. Goldstein | Epstein Becker & Green, P.C. on 4/1/2013

On March 15, 2013, the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) released the Updated OIG Guidelines for Evaluating State False Claims Acts (“2013 Guidelines”), which replaces the...more

Health Care Enforcement in 2012: A Year in Review

by Hope Foster, Samantha Kingsbury, Tracy Miner, Jessica Sergi, Stephanie Willis | Mintz Levin - Health Law on 2/26/2013

Last year was another busy year in health care fraud enforcement. In 2012, the Office of Inspector General for the Department of Health and Human Services (HHS-OIG) reported total expected recoveries of $6.9 billion from all...more

The Healthcare Industry And The Voluntary Disclosure Process

by Michael Volkov on 2/21/2013

It is always important to consider how different parts of the government handle voluntary disclosures. The FCPA enforcement initiative has been largely the result of the voluntary disclosure process, and the government...more

California Gets Tough on Healthcare Fraud and Abuse: Are You Protected?

by Matthew Chayt | Nossaman LLP on 1/31/2013

The industry should take note of new California anti-fraud laws that have recently gone into effect—and the increasing challenges of compliance in a rapidly transforming industry. Even as lawmakers in Sacramento debate how...more

What To Do If The Feds Come Knocking At Your Door!

by Jacqueline Arango, Ari H. Gerstin, Bruce Platt, Richard Sharpstein | Akerman Senterfitt on 1/18/2013

Your employee handbook likely addresses, in great detail, the do's and don'ts of using the internet while at the office, guidance on HIPAA, and even the company's policy on sexual harassment, but does it provide any...more

Record Healthcare Fraud Recovery Calls for Compliance

by Armstrong Teasdale LLP on 12/11/2012

To date in 2012, the Department of Justice secured a record $3.3 billion in settlements and judgments in civil cases alleging healthcare fraud against the government under the Federal False Claims Act (“FCA”). The figure,...more

An Ounce of Prevention Is Worth a Pound of Cure Why You Need an Effective Compliance Program

by Amy E. Garber, Gina L. Simms | Ober|Kaler on 12/6/2012

For centuries, health care providers have enlightened patients with the well-known adage: “an ounce of prevention is worth a pound of cure.” A recent set of cases involving a durable medical equipment company and its...more

Sixth Circuit Overturns $82.6 Million Medicare Fraud Judgment

by McDermott Will & Emery on 11/5/2012

Based on the recent decision in United States, ex rel. Williams v. Renal Care Group, Inc., medical service providers in the Sixth Circuit that have established separate corporate entities to maximize corporate profits and...more

Federal Appeals Court Rules Healthcare Company Can’t Be Punished Under FCA for Maximizing Profits

by Ashley Adams on 10/25/2012

At Ashley D. Adams, PLC, we have a well-established track record of success in false claim cases that can make a difference. For both organization defending against false claims charges and individuals pursuing qui tam...more

Healthcare Prosecutions for Failures to Return Overpayments

by Michael Volkov on 10/11/2012

Sometimes the deck is stacked against you. No matter what you do and how hard you try, you will lose. In the healthcare area, hospitals, doctors and other service providers have to feel the frustration when it comes...more

Healthcare Companies Need to Update Compliance

by Michael Volkov on 9/21/2012

The Supreme Court’s decision upholding most of the Affordable Care Act increased compliance responsibilities for healthcare companies. The ACA amended the False Claims Act (FCA), which was amended in 2009 in the Fraud...more

Government Teams with Insurance Companies to Combat Healthcare Fraud

by Ashley Adams on 8/10/2012

At Ashley D. Adams, PLC, we have a well-established track record of success in false claim cases that can make a difference. For both organization defending against false claims charges and individuals pursuing qui tam...more

GlaxoSmithKline to Pay $3 Billion to Settle Healthcare Fraud Case

by Ashley Adams on 7/25/2012

At Ashley D. Adams, PLC, we have a well-established track record of success in false claim cases that can make a difference. For both organization defending against false claims charges and individuals pursuing qui tam...more

Health Care Reform: Key Legislative Changes Impacting the Pharmaceutical, Biotechnology, and Medical Device Industries

by Ropes & Gray LLP on 3/30/2010

Last week, Congress adopted comprehensive health care reform through the passage of the Patient Protection and Affordable Health Care Act (H.R. 3590) (signed into law on March 23) and the Health Care and Education...more

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False Claims Act › Healthcare

Groundhog Day for Tuomey: Jury Finds Hospital Violated Stark Law and False Claims Act

Jury Ruled in Tuomey Healthcare Retrial that the Hospital Violated the Stark Law and False Claims Act

Five Takeaways from the OIG’s Special Advisory Bulletin on Exclusion

Law Enforcement In The Health Care Industry: What Do New Cases Against Novartis Tell Us?

Self-Audit Results Found Sufficient to Sustain False Claims Act Complaint

Sixth Circuit in MedQuest: No FCA Liability for Violation of Medicare Conditions of Participation Without Violation of Conditions...

Health Reform + Related Health Policy News Update - April 2013

False Claims Act Focus - April 2013

$25.5 Million Settlement Agreement Reached Between Intermountain Health Care, Inc. and the United States Based on Self Disclosure...

Sixth Circuit Rules No FCA Liability Based on Violation of Medicare Requirements

HEALTH REFORM: OIG Issues Updated Guidelines for Evaluating State False Claims Acts: Is More State Litigation on the Horizon?

Health Care Enforcement in 2012: A Year in Review

The Healthcare Industry And The Voluntary Disclosure Process

California Gets Tough on Healthcare Fraud and Abuse: Are You Protected?

What To Do If The Feds Come Knocking At Your Door!

Record Healthcare Fraud Recovery Calls for Compliance

An Ounce of Prevention Is Worth a Pound of Cure Why You Need an Effective Compliance Program

Sixth Circuit Overturns $82.6 Million Medicare Fraud Judgment

Federal Appeals Court Rules Healthcare Company Can’t Be Punished Under FCA for Maximizing Profits

Healthcare Prosecutions for Failures to Return Overpayments

Healthcare Companies Need to Update Compliance

Government Teams with Insurance Companies to Combat Healthcare Fraud

GlaxoSmithKline to Pay $3 Billion to Settle Healthcare Fraud Case

Health Care Reform: Key Legislative Changes Impacting the Pharmaceutical, Biotechnology, and Medical Device Industries

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