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Federal Court Permits Government Intervention in FCA Case After …

WEBThe Western District of New York recently allowed the government to intervene in an FCA action brought months after the government’s initial notice of …

Actived: 3 days ago

URL: https://www.thefcainsider.com/2021/09/federal-court-permits-government-intervention-fca-case/

DEA Investigation Leads to Record-Setting Settlement for Drug …

WEBThe United States Department of Justice (DOJ) recently announced the nation’s largest settlement involving allegations of drug diversion at a health care …

Category: Health Go Health

No FCA Liability Where Fraudulently Obtained Contract Did Not …

WEBIn U.S. ex rel. Freedman v.Bayada Home Health Care, Inc., No. 3:19-cv-18753-FLW-ZNQ, 2021 WL 1904735 (D.N.J. May 12, 2021), a New Jersey District …

Category: Health Go Health

District Court Embraces Expansive View of “Referrals” to include

WEBIn Stop Illinois Health Care Fraud, LLC v.Sayeed, No. 12-CV-09306, 2021 WL 2331338 (N.D. Ill. June 8, 2021), an Illinois district court issued an order after a …

Category: Health Go Health

Fifth Circuit Upholds Health Care Fraud Convictions for Home …

WEBFCA Insider provides insights and updates on False Claims Act litigation impacting a variety of industries — including healthcare, government contracts and …

Category: Health Go Health

HHS OIG Adds Audit of CARES Act Provider Relief Funds to Work …

WEBOn May 22, 2020, the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) updated its Work Plan to reflect its planned audit of the $50 …

Category: Health Go Health

HHS Extends Timeline to finalize Stark Law Changes and CMP …

WEBHere are four key things for healthcare providers to know from these two HHS deadline extensions: 1. Providers will want CMS to finalize the Stark Law rule as …

Category: Health Go Health

Regional Hospital System and Two Physicians Pay More Than $69 …

WEBOn March 29, 2023, the U.S. District Court for the Eastern District of Michigan granted the parties’ joint stipulation for dismissal in U.S. ex. rel. Godsholl v.Covenant …

Category: Health Go Health

HHS to Ease Fraud and Abuse Rules Part 3: Flexibility for EHR …

WEBAs discussed in a previous McGuireWoods alert, on Oct. 9, the Department of Health and Human Services announced two proposed rules to significantly amend the …

Category: Health Go Health

HHS Finalizes Stark Law, AKS Changes to Reduce

WEBOn Nov. 20, 2020, the U.S. Department of Health and Human Services (HHS) published two long-awaited final rules significantly amending the Physician Self-Referral Law …

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Changes to CMS’ Conditions of Participation

WEBFCA Insider provides insights and updates on False Claims Act litigation impacting a variety of industries — including healthcare, government contracts and …

Category: Health Go Health

Eleventh Circuit Holds “Knowingly and Willfully” Does Not Require

WEBA recent Eleventh Circuit opinion clarified the mens rea burden the Government must prove to establish criminal intent to violate the Federal Anti-Kickback …

Category: Health Go Health

DOJ Announces First False Claims Settlement Since

WEBFCA Insider provides insights and updates on False Claims Act litigation impacting a variety of industries — including healthcare, government contracts and …

Category: Health Go Health

HHS to Ease Fraud and Abuse Rules Part 2: Civil Monetary Penalty …

WEBAs discussed in a previous McGuireWoods alert, on Oct. 9, the Department of Health and Human Services (HHS) announced two proposed rules to significantly …

Category: Health Go Health

Fraud and Abuse Rules Part II: Amended EHR and New …

WEBAs discussed in a previous McGuireWoods alert, the U.S. Department of Health and Human Services (HHS) published final rules expected to be effective Jan. 19, 2021, that …

Category: Health Go Health

Supreme Court to Review When DOJ May Dismiss Relator Suits

WEBLast month, the Supreme Court granted certiorari in United States ex rel. Polansky v. Executive Health Resources, Inc., a case presenting the question whether …

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Fifth Circuit Vacates Fraud Conviction after Denying Codefendants

WEBThis reversal comes soon after a separate Fifth Circuit panel denied an appeal from Nora’s codefendants, as previously discussed in a Nov. 2020 FCA Insider …

Category: Health Go Health

Federal Court Upholds CMS’ Use of Extrapolation to

WEBAfter the administrative appeals process, which overruled the contractor on four claims, by using extrapolation on the remaining 25 claims, Palm Valley was required …

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