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.”[...
“Overbilling Medicare by submitting false claims increases the cost of medical care for all and undermines the integrity of the Medicare program,” Michael A. Bennett, US Attorney for the Western District of Kentucky, stated. “This office will continue to vigorously pursue unscr...
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...
Under the False Claims Act, the whistleblowers are entitled to a portion of the federal government's recovery from the defendant. In this case, each employee will receive $150,000, according to the US Attorney's Office. Jain was licensed in Texas in 1996 and is certified by the American ...
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.
In the MA space, historical enforcement actions taken by both OIG, under their administrative authorities, and DOJ, under the False Claims Act (“FCA”), have related to alleged MA risk adjustment payment inflation schemes. See, e.g., DaVita, Sutter Health, Beaver Medical, Martin’s Point,...
[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....
A California plastic surgeon, along with his son, his medical practices, and billing company, will pay $23.9 million to resolve alleged violations of the False Claims Act, the Justice Department said said Friday.
The False Claims Act (FCA) has fast become one of the federal government’s preferred vehicles for recouping monies from providers of services, grant recipients and many others who have only an indirect connection to government funding. With its treble damages, $11,000 per claim penalty, and ...
Jeffrey S. Bucholtz, Tamra Moore, Matthew V.H. Noller, King & Spalding LLP OVERVIEW This week’s top False Claims Act (FCA) developments include: Second and Eighth Circuit decisions interpreting the Anti-Kickback Statute (AKS) and the False Claims Act;