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Philips Recalled CPAP, Bi-Level PAP, and Mechanical...
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March 19, 2014
Healthcare Fraud
Florida Pain Clinic to Pay $750,000 Amid Allegations of Phony Medicare Invoices
In a tale as old as time, another physician’s office has opted to settle with the federal government after facing allegations of fraudulent Medicare billing. Under the False Claims Act, it is considered unlawful for a doctor to submit invoices for repayment to healthcare agencies like Medicare or Medicaid for […]
March 18, 2014
False Claims Act Legal News
$85 Million Settlement in Stark Law Whistleblower Case, Relator to Receive $20.8 Million
The federal Stark Law is designed to place limitations on physician referrals and to create greater patient confidence in the underlying rationale for a patient referral. Prior to the Stark Law, there were no regulations in place regarding referrals by a physician to laboratories or hospitals in which the physician […]
March 17, 2014
False Claims Act Legal News
Recent False Claims Act Case Against Sprint Brings Wiretapping to the Forefront
The False Claims Act is used to address issues of overcharging the government for services rendered by independent, private contractors. In a recent case involving popular wireless provider Sprint, whistleblowers have alleged significant overcharges in conjunction with a contract to provide wiretapping services to federal agencies including the FBI, U.S. […]
March 14, 2014
Healthcare Fraud
Long Island Radiologist to Pay Over $15 Million to Settle False Claims Act Allegations
Fraud in the healthcare industry is reaching alarming levels. Each year, the Department of Justice works in concert with several other federal agencies and state-level counterparts to combat this growing trend. The False Claims Act is extremely pivotal in bringing healthcare fraud to light. Given the widespread problem of fraud […]
March 13, 2014
False Claims Act Legal News
U.S. Solicitor General Explains the Inapplicability of Rule 9(b) in the False Claims Act
As we reported yesterday, the U.S. Solicitor General, upon request by the Supreme Court, submitted its amicus curiae brief in the hotly-contested False Claims Act case Nathan v. Takeda Pharmaceuticals. As a bit of background, this case involves the practice of off-label marketing, which occurs when a drug company promotes […]
March 12, 2014
Healthcare Fraud
Filing Reveals Solicitor General’s Opinion of Government Involvement in Off-Label Marketing
As we have reported in the past, the U.S. Circuit Courts are split on several issues involving the federal False Claims Act. One of the most divisive issues facing the courts today involves the application of Federal Rule of Civil Procedure 9(b). Rule 9(b) requires heightened pleading requirements for plaintiffs […]
March 11, 2014
Military Contractor Fraud
U.S. Supreme Court Considers Reviewing Effect of Wartime Suspension of Limitations Act
In any civil action, a concept known as a statute of limitations applies to limit plaintiffs from filing a lawsuit based on incidents occurring more than a set number of years in the past. For example, personal injury cases carry a two-year statute of limitations in several states (e.g., California, […]
March 10, 2014
False Claims Act Legal News
Property Management Firm to Settle Allegations of Defrauding the U.S. Department of Housing
The False Claims Act applies to virtually any intentional submission of a false claim for payment to the federal government. Often times, this involves healthcare fraud and fraud in the defense contracting sector. However, every now and then, a story will emerge involving a less-publicized public entity on the receiving […]
March 7, 2014
Healthcare Fraud
False Claims Authorities Take Aim at Tennessee Mental Health Facility Caught Upcoding
One of the most common practices occurring within the context of healthcare fraud involves a process known as upcoding. When a doctor or nurse performs a medical service, that service corresponds to a universal set of codes used to prepare the patient’s bill. These codes are derived from a compilation […]
March 6, 2014
Healthcare Fraud
Government Intervenes in False Claims Act Case Against Tenet Healthcare
In yet another case involving unlawful patient referrals, Tenet Healthcare Corp. and four of its Southeast-area hospitals are facing allegations of misconduct under the False Claims Act. The False Claims Act has been extremely pivotal in bringing kickback schemes to light and continues to hold doctors, hospitals, and pharmaceutical professionals […]
March 5, 2014
Commodities Futures Trading Fraud
Commodities Futures Trading Fraud: A Lesser-Known Industry Expecting Huge Boost in 2014
When it comes to whistleblower provisions, the False Claims Act undoubtedly reigns as the most well-known, highly-publicized piece of legislation on the books today. However, there are several other industries enjoying similar anti-fraud protections and whistleblower provisions, including the commodities futures trading industry, protected by the lesser-known commodities futures trading […]
March 4, 2014
Military Contractor Fraud
Two Recent False Claims Act Settlements Reveal Rampant Fraud in Defense Contracting
Two recent settlements under the False Claims Act reveal that not much has changed since the FCA got its start during the Civil War. Unethical defense contractors continue to exploit the U.S. defense budget by knowingly and intentionally billing for services, products, and goods that were either never delivered or […]
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