Medical necessity cases continue to be a focal point for False Claims Act (FCA) investigations and lawsuits. With this focus comes an age-old problem for health care providers and entities defending these actions: the...more
INTRODUCTION -
On May 1, 2019, the U.S. Department of Justice (“DOJ”) and the U.S. Attorney’s Office (“USAO”) for the Northern District of Texas announced a $4.375 million civil settlement with a natural gas marketer and...more
Court Recognizes Theory but Reaffirms the “Rigorous” Materiality and Scienter Requirements, Making Clear that the FCA is No Remedy for “Minor or Inconsequential” Infractions
The Supreme Court issued a much-anticipated...more
On October 10, 2014, the United States Department of Justice (“DOJ”) announced a civil settlement agreement (the “Settlement”) with Extendicare Heath Services, Inc. and its subsidiary Progress Step Corporation (collectively,...more
10/23/2014
/ Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Healthcare ,
Medicaid ,
Medical Malpractice ,
Medical Reimbursement ,
Medicare ,
Non-Judicial Settlement Agreements ,
OIG ,
Skilled-Care Providers ,
Standard of Care ,
Worthless Services Claims