The third quarter of this year brought numerous high-dollar False Claims Act (FCA) settlements involving a variety of industries and alleged conduct. Below are noteworthy resolutions that reflect recent enforcement trends....more
We are pleased to bring you our 12th annual Healthcare Fraud & Abuse Review. Our Review provides comprehensive coverage of the most significant civil and criminal enforcement issues facing healthcare providers. Each year, we...more
2/27/2024
/ Anti-Kickback Statute ,
CARES Act ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Kickbacks ,
Medical Devices ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Qui Tam ,
Settlement ,
Stark Law ,
Telemedicine
Below are noteworthy False Claims Act (FCA) decisions from the third quarter of 2023.
The main issues in the cases are:
Materiality. The Fourth Circuit held that a pharmacist’s efforts to falsify patient eligibility...more
10/19/2023
/ Anti-Kickback Statute ,
Causation ,
Class Action ,
Damages ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Fraudulent Procurement ,
Healthcare ,
Investigations ,
Jury Verdicts ,
Kickbacks ,
Materiality ,
Medicaid ,
Relators ,
Statute of Limitations
In this post, we summarize noteworthy False Claims Act (FCA) decisions so far from 2023.
Each of the three circuit court opinions discussed here ruled in favor of the defendants on different aspects of the FCA: the Sixth...more
5/1/2023
/ Anti-Kickback Statute ,
Causation ,
Dismissals ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud ,
Government Investigations ,
Health Care Providers ,
Materiality ,
Medicare ,
Pharmaceutical Industry ,
Public Disclosure Bar ,
Qui Tam ,
Relators ,
Remuneration
Each year, the Department of Justice (DOJ) recovers millions of dollars through False Claims Act (FCA) settlements, and 2021 was no exception. Some of the most sizeable or otherwise noteworthy settlements from 2021 were with...more
1/24/2022
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Justice (DOJ) ,
Fair Market Value ,
False Claims Act (FCA) ,
Fraud ,
Hospitals ,
Kickbacks ,
Medicare Advantage ,
Qui Tam ,
Settlement ,
Stark Law