Below are noteworthy False Claims Act (FCA) decisions from the third quarter of 2023.
The main issues in the cases are:
Materiality. The Fourth Circuit held that a pharmacist’s efforts to falsify patient eligibility...more
10/19/2023
/ Anti-Kickback Statute ,
Causation ,
Class Action ,
Damages ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Fraudulent Procurement ,
Healthcare ,
Investigations ,
Jury Verdicts ,
Kickbacks ,
Materiality ,
Medicaid ,
Relators ,
Statute of Limitations
In this post, we summarize noteworthy False Claims Act (FCA) decisions so far from 2023.
Each of the three circuit court opinions discussed here ruled in favor of the defendants on different aspects of the FCA: the Sixth...more
5/1/2023
/ Anti-Kickback Statute ,
Causation ,
Dismissals ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud ,
Government Investigations ,
Health Care Providers ,
Materiality ,
Medicare ,
Pharmaceutical Industry ,
Public Disclosure Bar ,
Qui Tam ,
Relators ,
Remuneration
The United States District Court for the Northern District of Alabama recently ordered that a relator’s qui tam lawsuit must be unsealed upon the case’s voluntary dismissal, denying the relator’s request to maintain the...more
On December 11, 2018, the United States announced that it has elected to intervene in a False Claims Act (FCA) lawsuit filed against Sutter Health and its affiliated entity Palo Alto Medical Foundation (PAMF) alleging that...more
1/18/2019
/ Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicare Advantage ,
Overpayment ,
Qui Tam ,
Relators ,
Risk Adjustment Formula ,
Whistleblowers