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,...
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.
Burns is acting president of the Taxpayers Against Fraud Educational Fund, a nonprofit dedicated to combating fraud against the government. Oswald is managing principal ofThe Employment Law Group, P.C., a law firm that protects FCA whistleblowers. Both are based in Washington, D.C....
The False Claims Act enables a private citizen with unique knowledge of fraud committed against the federal government (such as health care fraud, contract fraud, and tax fraud) to file a lawsuit under seal (not accessible to the public) seeking treble (triple the amount) damages on behalf ...
Because of these issues, if possible, claims filed under the banking laws should be joined with other corporate protection whistleblower laws. 由于这些问题,如果可能的话,根据银行法提出的索赔应与其他公司的举报人保护法相结合。 Consumer Financial Protection Act of 2010 2010年消费者金融保护法。 The Dod...
Whistle While You Work: How the False Claims Act Amendments Protect Internal WhistleblowersII. Liability Under the 1986 Provision 542 A. Protected Activity Under the 1986 Provision.. 544 1. The 1986 Provision Only Protects Good Faith Acts That Are Reasonably Likely to Further FCA Fraud Litigation...
Retaliation Claims under the False Claims Act (FCA) Are Governed by the Most Closely Analogous State Statute of LimitationAlycia A. Ziarno
Research Group — which conducted some of the clinical trials for the Pfizer-BioNTech COVID-19 vaccine — in January 2021 sued Pfizer, Ventavia and ICON PLC, another Pfizer contractor, alleging the companies committed numerous violations of the False Claims Act (FCA) during the clinical trials....
The case involved aqui tamlawsuit filed under the False Claims Act (FCA) by whistleblowers asserting that the defendant knowingly underreported its revenue received from Medicaid managed care plans in order to obtain falsely inflated payments from California’s Medicaid program. Both the State of Cali...
New Guidelines for Cooperation Credit in False Claims Act Cases: FCA Guidance Describes in More Detail the Bases for Civil Cooperation Credit Journal of Health Care ComplianceGITTENS, PRECIOUS M.