The False Claims Act is one of many federal laws that helps prevent fraud, waste and abuse in the health care industry. Any submission of false information, records or claims regarding federal health care programs may violate the False Claims Act and can result in severe financial penalties....
This 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. The chapter discusses the difference between what the government paid the defendant and what the government ...
False Claims Act: Appellate Court Deepens Circuit Split in Favor of Healthcare DefendantsLinkedIn Facebook X Send Embed On March 28, 2023, the United States Court of Appeals for the Sixth Circuit issued its opinion in United States ex rel. Martin v. Hathaway, holding that plaintiffs in False...
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...
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...
$39 Million Jury Verdict in False Claims Act Suit against Tuomey HealthcareJeremy D. KernodleScott Ewing
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.
On August 30, a California company that operates multiple healthcare providers agreed to pay $5 million to resolve claims that it violated the FCA and the California FCA by causing the submission of false claims to California’s Medicaid program. The government alleged that the company billed for...
If a whistleblower’s FCA lawsuit is successful in returning money to the government, then the Healthcare, Government Contracts and Grant is generally eligible for a financial reward – usually between 15% and 30% of the amount recovered. False Claims Act laws also prohibit whistleblower ...
“From June 1, 2006, to December 14, 2009, Covenant employed Mark Adams, M.D., and this financial relationship did not satisfy any exception to the Stark Law, such that referrals for designated healthcare services by Adams to Covenant were prohibited and violated the False Claims Act.” “...