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California State Court Orders New Trial Following California False Claims Act Verdict

California, along with many other states, maintains its own False Claims Act statute that closely mirrors the language of the federal version. The lengthy, comprehensive, statute allows private individuals to file claims under the Act if that person has original knowledge of the submission of a false claim to any […]

California Court Dismisses Whistleblower Lawsuit Due to Insufficient Facts in Complaint

In the context of False Claims Act lawsuits, there is much to be said about the initial complaint stage. As you recall, Circuit Courts of Appeal are split as to the level of specificity required for a False Claims Act filing. Some courts have concluded that Federal Rule of Civil […]

Oklahoma Dentist Settles False Claims Act Allegations Involving Medicaid Patients

In a rare False Claims Act settlement involving dental care, an Oklahoma-based dentist has agreed to pay $5 million to settle claims of false invoices to the federal government for dental services. The company, which actually operates facilities in seven U.S. states, is alleged to have engaged in the familiar […]

CareAll Companies Agree to Pay $25 Million in False Claims Act Settlement

In yet another instance of costly and wasteful healthcare fraud, CareAll Management, LLC has agreed to pay $25 million to resolve allegations of illegal upcoding and falsification of information on official requests for reimbursement. In the context of healthcare fraud, the False Claims Act is triggered whenever an invoice is […]

Visiting Nurse Service Settles Alarming Long-Term Healthcare Fraud Allegations

For individuals in need of long-term care (i.e., a permanent stay in a nursing home), the options are to either self-fund the monthly charge or to apply for Medicaid benefits. As Medicare does not cover long-term care, patients in need of this vital service must be eligible by showing financial […]