Just how broad is the scope of the False Claims Act (FCA)? That is the basic question posed in Wisconsin Bell, Inc. v. U.S. ex rel. Heath, No. 23-1127. Put more directly, the case addresses whether reimbursement requests...more
10/24/2024
/ Department of Justice (DOJ) ,
E-Rates ,
False Claims Act (FCA) ,
Fannie Mae ,
FCC ,
Freddie Mac ,
Reimbursements ,
Relators ,
SCOTUS ,
Telecommunications ,
U.S. Treasury ,
Universal Service Fund ,
USAC
Scenario 1: A pharmacy chain hires a value consultant to review its Medicare and Medicaid billing practices for ways to optimize the coding of drug reimbursements to maximize profits. Drugs that had historically been charged...more
2/3/2023
/ Billing ,
CFOs ,
False Claims Act (FCA) ,
Federal Acquisition Regulations (FAR) ,
Federal Contractors ,
Health Care Providers ,
Medicaid ,
Medicare ,
Reasonableness Factors ,
Reimbursements ,
SCOTUS