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...
Although False Claims Act penalties can be severe, health care organizations can implement standard policies and procedures to ensure that all levels of the workforce understand the False Claims Act. These policies and procedures also help workforce members learn how to remain compliant with the law ...
Our team of dedicated False Claims Act (FCA) attorneys assists and advises government contractors, health care providers, pharmaceutical and medical device companies, laboratories, and other recipients of federal funding on preventing and defending False Claims Act litigation. We take pride in our abil...
Martin v. Hathaway, holding that plaintiffs in False Claims Act (FCA) cases alleging a violation of the Anti-Kickback Statute (AKS) must establish that the false claim would not have occurred "but for" the illegal kickbacks. Circuit decisions have been split regarding what kind of causal ...
Steward Health Care System has reached a $4.7 million settlement to resolve allegations that it violated the False Claims Act by paying physicians for services they did not provide.
In 2022, “[t]he government and whistleblowers were party to 351 settlements and judgments, the second highest number of settlements and judgments in a single year.” Notably, “health care fraud remained the leading source of False Claims Act settlements and...
Helmer, Martins, Tate & Garrett Co., LPA is the nation's most experienced law firm representing qui tam whistleblowers in a wide range of False Claims Act and other whistleblower cases.
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’...
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...
Healthcare digitization, including increased use of telehealth and EHR has led to a higher volume of healthcare fraud and False Claims Act cases, according to lawyers from Hogan Lovells.