This week the Department of Justice reported it recovered $3 billion from False Claims Act cases in 2019. Of that recovery amount, $2.1 billion resulted from whistleblower, or qui tam, actions. In addition, 633 new qui tam...more
1/27/2020
/ Civil Monetary Penalty ,
Department of Justice (DOJ) ,
Disgorgement ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Medicaid ,
Medicare ,
Pharmaceutical Industry ,
Qui Tam ,
Settlement Agreements ,
State Medicaid Programs ,
Whistleblowers
A new federal court decision offers a ray of light to those providers defending false claims actions based on an alleged lack of medical necessity. On September 9, 2019, the United States Court of Appeals for the Eleventh...more
9/13/2019
/ Appeals ,
Bifurcation ,
Defense Strategies ,
Department of Justice (DOJ) ,
Expert Witness ,
False Claims Act (FCA) ,
Federal Contractors ,
Health Care Providers ,
Healthcare Fraud ,
Hospice ,
Interrogatories ,
Judgment Notwithstanding the Verdict (JNOV) ,
Jury Verdicts ,
Medical Necessity ,
Medicare ,
Physicians ,
Reaffirmation ,
Remand ,
Set-Asides
The U.S. Justice Department has updated its "Evaluation of Corporate Compliance Programs," a guidance document detailing topics and questions prosecutors should weigh when determining whether a company has demonstrated...more
5/29/2019
/ Ambulatory Surgery Centers ,
Board of Directors ,
Compliance ,
Corporate Executives ,
Corporate Misconduct ,
Criminal Investigations ,
Department of Justice (DOJ) ,
Disciplinary Proceedings ,
Ethics ,
Government Investigations ,
Health Care Providers ,
Hospitals ,
Internal Audit Functions ,
Internal Investigations ,
Long Term Care Facilities ,
Nursing Homes ,
Physicians ,
Tone At The Top
Under the Federal Civil Penalties Inflation Adjustment Act Improvements Act of 2015, the Department of Justice (DOJ), Federal Trade Commission (FTC) and other agencies have raised the maximum civil penalties (CMPs) for legal...more
On September 9, 2015, Sally Quillian Yates, the Deputy Attorney General of the U.S. Department of Justice (DOJ), issued a directive to the leaders of the divisions of the DOJ and to U.S. Attorneys to combat corporate fraud by...more
9/24/2015
/ Board of Directors ,
Compliance ,
Corporate Counsel ,
Corporate Fraud ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
Federal Prosecutors ,
Government Investigations ,
Professional Misconduct ,
Upjohn Warnings ,
White Collar Crimes