agreement itself, but explicitly stated in the press release announcing the settlement that “[b]ecause the company self-reported the conduct to the government, it was able to resolve its False Claims Act liability for only 1.5 times the amount of monetary loss caused by its false claims.”[...
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 ...
the first case in the nation to hold a false claim made in violation of a Medicare Manual provision regarding coverage under the Medicare Act’s “reasonable and necessary” services section, is a violation of the False Claims Act.
[4]SeePress Release, U.S. Atty’s Office for the Middle Dist. of NC, Bioventus Agrees to Pay More Than $3.6 Million to Resolve False Claims Act Violations (Feb. 25, 2021), https://www.justice.gov/usao-mdnc/pr/bioventus-agrees-pay-more-36-million-resolve-false-claims-act-violations....
Boston based whistleblower and False Claims Act qui tam lawyer Gregg Shapiro has recovered billions of dollars in settlements
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 ...
v. Halifax Stark Law court case related to violation of False Claims Act by Halifax Health Medical Center in Daytona Beach, Florida by illegally paying doctors to encourage patient referrals. Other court cases include Halbig v. Sebelius and ProMedica v. FTC.Carlson...
Additionally, they were accused of submitting false claims by overbilling Medicare for some of the hospice’s services. Ellen Momeyer, the whistleblower in this action, was a former Hospice of Arizona employee. Pursuant to the whistleblower provisions of the False Claims Act, whistleblowers or ...
False Claims Act Guide: 2024 and the road ahead News DOJ corporate enforcement overhaul: More declinations, fewer monitors, and FCPA enforcement still in question 15 May 2025 Hogan Lovells Events DOJ’s Civil Cyber-Fraud Initiative: FCA risk in a new era of enforcement ...
Following the ever-growing progeny of cases holding that Medicare conditions of participation do not give rise to False Claims Act (FCA) liability, the United States Court of Appeals for the Sixth Circuit overturned an $11 million qui tam judgment agains