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Extendicare Health Services Inc. to Pay $38 Million to Settle FCA Allegations Involving Substandard Care

One of the most alarming forms of healthcare fraud involves the provision of substandard care and the subsequent billing for that care to government programs like Medicare and Medicaid. Under applicable laws, a medical facility or skilled nursing entity can expose itself to False Claims Act liability for failing to […]

Kentucky Cardiology Group Settles False Claims Act Allegations for $380,000

In a recent announcement by the Department of Justice, two London, Kentucky-based cardiologists have agreed to pay $380,000 to settle claims of improper financial relationships with nearby St. Joseph Hospital – including unlawful kickbacks and allegations of financial inducements for referrals. Under the False Claims Act and federal Stark Law, […]

UPDATE: Jury Returns $175 Million Verdict Against Trinity Industries

In an ongoing False Claims Act case against highway guardrail manufacturer Trinity Industries, a Texas jury has awarded $175 million in damages against the industrial corporation. The case was initiated by outspoken engineer Josh Harman, who has worked diligently in his whistleblower lawsuit since 2005 – despite “gamesmanship and inappropriate […]

DRS Technical Services Agrees to Settle False Claims Act Allegations for $13.7 Million

Aside from healthcare fraud, intentional fraudulent misconduct pursuant to contracts for defense goods or services is one of the most common areas triggering liability under the federal False Claims Act. As you may recall, the False Claims Act got its start during the Civil War era as a way to […]

Examining the Distinction Between Conditions of Participation Versus Conditions of Payment

The statutory requirements of the False Claims Act are highly specific, requiring a precise intent to defraud the government out of taxpayer dollars. An emerging issue across several federal courts involves the pivotal distinction between conditions for participation in Medicare or Medicaid versus conditions for reimbursement for patients enrolled in […]