Rebecca Zeidel

Mintz

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Flagging Judgment: Medical Necessity as a Focus of Fraud and Abuse Enforcement Actions

Physician judgment and medical necessity increasingly are a focus of fraud and abuse enforcement actions, with statistical analysis of procedure volumes used to flag potential cases. Last week, the Atlantic published this...more

8/19/2021 / Enforcement Actions , False Claims Act (FCA) , Fraud and Abuse , Health Care Providers , Healthcare Fraud , Whistleblowers

SCOTUS Sets a Clock on Disgorgement in SEC Enforcement Actions

The U.S. Supreme Court’s recent decision in Kokesh v. SEC imposes a five-year statute of limitations on agency-sought disgorgement in SEC enforcement actions, resolving a Circuit split and definitively categorizing...more

6/8/2017 / Disgorgement , Enforcement Actions , Kokesh v SEC , Penalties , SCOTUS , Securities and Exchange Commission (SEC) , Securities Fraud , Statute of Limitations

Mintz Levin Health Care Qui Tam Update - Recently Unsealed Whistleblower Cases: April 2016

Trends & Analysis - ..We have identified 42 health care–related qui tam cases that have been unsealed in whole or in part since the cases covered in our last Qui Tam Update. Included in that count is one proceeding (the...more

4/12/2016 / Class Action , Corporate Integrity Agreement , Fraud , Health Insurance Portability and Accountability Act (HIPAA) , Qui Tam , Whistleblowers

Mintz Levin Health Care Qui Tam Update - Recently Unsealed Whistleblower Cases: June 2015

Trends & Analysis: ..We have identified 33 health care–related qui tam cases that have been unsealed in whole or in part since the cases covered in our last Qui Tam Update. In addition, we have also identified one case...more

6/8/2015 / Anti-Kickback Statute , Clinical Trials , False Claims Act (FCA) , Hospitals , Medical Devices , Qui Tam , Whistleblower Protection Policies , Whistleblowers

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