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
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
After reading through the hundreds of pages of the District Court's and Appeals Court's decisions, including the recent Fourth Circuit Court of Appeals decision that was filed on July 2, 2015, one thing is certain: Mixing one...more
7/15/2015
/ Agency Agreement ,
Appeals ,
Compliance ,
Employment Contract ,
False Claims Act (FCA) ,
Healthcare ,
Hospitals ,
Medicare ,
Patient Referrals ,
Physicians ,
Self-Referral Disclosure Protocol ,
Stark Law