False Claims Act (FCAMedicare administrative contractors (MACshealth care sectorliable defendantshealth care providersThis chapter offers an introduction to the complexities of the False Claims Act (FCA) litigation in the health care sector, explaining the formula that the FCA uses to calculate damages...
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 U.S. Department of Justice (DOJ) kicked off the new year by issuing two internal memoranda that are directly relevant to actions brought under the False Claims Act. The January 2018 memoranda offer valuable insight into how the DOJ intends to prosecu
False Claims Act & the Health Care Industry is intended to help health care lawyers, accountants, executives, and other professionals assess a company’s potential exposure to false claims liability...
The Supreme Court is considering two False Claims Act (FCA) cases that have the potential to reshape the FCA landscape and impact defense strategy. They are: U.S. ex. Rel. Polansky v. Executive Health Resources, in which it will decide whether the government retains authorit...
country. As part of that review, the federal government determined that Georgia's Medicaid False Claims Act was not as aggressive as the revised federal False Claims Act, and that Georgia would no longer be eligible for the enhanced recovery unless it strengthened its own false cla...
2023 proved that there is never a dull moment when it comes to the False Claims Act (FCA). It was an especially significant year in terms of enforcement developments. The Department of Justice (DOJ) recovered approximately $2.7 billion through FCA settlements and judgments, making FY 2023 the...
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.
In order to represent the government’s interests, False Claims Act whistleblowers (called “relators”) must work with a lawyer. In fact, if the government declines to join the whistleblower’s case, then the relator and counsel can usually pursue the case on their own, on the government’...
False Claims Act (FCA) cases, particularly in the government contracts space, often have several defendants; prime contractors, subcontractors, vendors and individuals are all common targets. In healthcare FCA cases, with increasing regularity, multiple parties (hospitals, providers, investors, etc.) ...