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 ...
Healthcare digitization, including increased use of telehealth and EHR has led to a higher volume of healthcare fraud and False Claims Act (FCA) cases,accordingto lawyers from Hogan Lovells. The False Claims Act states that it is illegal for companies to knowingly submit fraudulent ...
False Claims Act Cases Identifying a false claim is seldom straightforward, so a False Claims Act casefilingmay take a variety of forms. Generally, however, there are three main elements seen in everyfalse claimcase: 1). a claim made by an individual or 2) for government money or funds ...
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.
From Carrot to Stick: Use of Self-Audits as Evidence Against Healthcare Entities in False Claims Act CasesRogers, Daniel R
government, then theHealthcare, Government Contracts and Grantis generally eligible for a financial reward – usually between 15% and 30% of the amount recovered. False Claims Act laws also prohibit whistleblower retaliation and provide a robust set of remedies to whistleblowers who suffer on the...
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.) ...
Embedded in the FY 2025 National Defense Authorization Act, signed into law on December 23, 2024, is a provision that could significantly impact agency enforcement activity: the Administrative False Claims Act (“AFCA”). Enforcement of the federal FCA is currently limited to DOJ and whistleblowers...
Regarding the healthcare-related claims, DOJ touted its cases alleging Medicare Advantage fraud, unnecessary services and substandard care fraud, claims related to the opioid epidemic, and unlawful kickbacks. Beyond those cases, DOJ emphasized its enforcement efforts targeting government defense contractors...
A complete overview of the Federal false claims act (FCA) - the secret weapon of of the Govt. used to combat fraud and incentivize whistleblowers. See the important parts of this litigation tool explained simply.