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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...
Beyond Audits: COVID-19 Uninsured Program Overpayments Lead to False Claims Act Enforcement ByRosie Dawn Griffin,Mindy B. Pava Health Care Providers That Submitted Reimbursements to HRSA’s UIP for Testing or Vaccines Should Be Aware of Growing Risk of FCA Lawsuits Health care providers that subm...
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 judgments[.]” Insurers should be aware that an effort is underway in Congress to further b...
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.
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.” “...
Designed to prevent fraud and other abuses in federal government programs, the False Claims Act has been the primary statute the government has used in its fight against health care fraud. However, government prosecutors do not rely on one statute in their prosecution of alleged cases of health...
One of the most powerful tools used by the federal and state governments to identify fraud and recover overpayments in government programs is the federal False Claims Act, 31 U.S.C. section 3729 et seq. (“FCA”), and corollary state false claims acts. We are experienced in responding to...