The False Claims Act (FCA) has been called the government's most successful weapon in the fight against healthcare fraud and abuse (S. Rep. No. 345, 1986). The FCA imposes liability on any person who "knowingly presents...a false or fraudulent claim for payment or approval" to the ...
The New York False Claims Act is similar to the Federal False Claims Act. The Federal False Claims Act provides protection to qui tam relators (individuals who commence a False Claims action) who are discharged, demoted, suspended, threatened, harassed, or in any other manner discriminated agains...
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established the HCFAC in an effort to coordinate federal, state, and local law enforcement with respect to healthcare fraud and abuse enforcement activities. The HCFAC provides a SportsCenter Top...
Client(s)Hospital system Jones Day is representing a hospital system in connection with two novel federal and state False Claims Act matters alleging improper arrangements with Medicaid managed health care plans.
Section 3732. False claims jurisdiction (a) Actions under section 3730.–Any action under section 3730 may be brought in any judicial district in which the defendant or, in the case of multiple defendants, any one defendant can be found, resides, transacts business, or in which any act pros...
The False Claims Act (FCA) Qui Tam Lawsuits The Whistleblower Protection Act (WPA) The Lacey Act The Sarbanes Oxley Act The Dodd-Frank Act Various government agencies also oversee whistleblower programs, including: The Internal Revenue Service (IRS) has a whistleblowerprogramthat pays monetary rew...
Todd represented a prominent physician being investigated by the U.S. Department of Justice under the False Claims Act for Medicare fraud, for allegedly filing false reimbursement claims for medical services. Todd identified and hired highly qualified experts and was able to have the investigation dis...
False Claims Act Defense of Doctors Grand Jury Subpoenas Civil Investigative Demand Cases InvolvingIRS,DEA,FDA,USDA,FCPA White-Collar Litigation National Security Cases Congressional Subpoenas Corporate Compliance Expand more Healthcare Audit Healthcare Compliance ...
Federal Court Holds False Claims Act Relators Are Entitled to Share of Government’s Settlements with Non-Parties December 11, 2024 Client Alert: Compliance Date Approaches for HIPAA Reproductive Health Care Privacy Final Rule December 19, 2024 ...
Federal district court holds that application of the False Claims Act鈥檚 civil penalty provision would violate the Eighth Amendment鈥檚 prohibition of excessive fines and declines to impose penalties where there is no evidence of economic harm to the government...