* Billing personnel should have mechanisms in place, such as bill- ing software edits, to ensure that claims submitted to Medicare or other government payors are for services provided in compliance with supervision requirements.Scott R. GrubmanAtlantaRogersHardin LLP...
False Claims Act A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 词条 中文 《虚假陈述法》 解释 〈美〉 一项联邦法律,它规定有以下行为者应承担民事及刑事责任:故意向政府提供虚假陈述或申诉,向政府少交应付金额,制造或使用虚假记录以减少对政府的义务。
In the MA space, historical enforcement actions taken by both OIG, under their administrative authorities, and DOJ, under the False Claims Act (“FCA”), have related to alleged MA risk adjustment payment inflation schemes. See, e.g., DaVita, Sutter Health, Beaver Medical, Martin’s Point,...
The U.S. Supreme Court has rendered a unanimousdecisionin the hotly-awaited False Claims Act case ofUniversal Health Services v. United States ex rel. Escobar. This case squarely presented the issue of whether liability may be based on the so-called “implied false certification” theory. Unive...
In 2018, the False Claims Act (“FCA”) continued to be one of the federal government’s (“Government”) preferred civil fraud enforcement tools across a variety of industries. The healthcare industry, however, remained the epicenter of FCA enforcement. Whistleblowers (“relators”), too,...
The committee drafting the legislation believed that those doing business with the federal government have an obligation make a limited inquiry to ensure that the claims they submit are accurate. It should be stressed that the thrust of the act is civil, not criminal, liability. This is ...
Jeffrey S. Bucholtz, Tamra Moore, Matthew V.H. Noller, King & Spalding LLP OVERVIEW This week’s top False Claims Act (FCA) developments include: Second and Eighth Circuit decisions interpreting the Anti-Kickback Statute (AKS) and the False Claims Act;
美国《虚假申报法》(false claims act)对揭发欺诈政府行为有类似奖励,催生了一个数十亿美元规模、专事医疗申报领域的律师 … www.ftchinese.com|基于50个网页 3. 虚假申报法案 根据美国《虚假申报法案》(False Claims Act),公民可代表政府起诉虚假申报者,并分享一定的赔偿金。佛罗里达州的一家名 … ...
Signature HomeNow, a home healthcare company operating in Florida, has reached a $2.1 million settlement to resolve allegations that it violated the False Claims Act and fraudulently billed Medicare.
medical necessity of those services. The matter arose from the hospital system’s voluntary self-disclosure of the claims. The government stated explicitly that its recovery was limited to 1.5 times the amount of monetary loss caused by the alleged false claims, which is consistent with DOJ’s ...