Compliance & EnforcementFalse Claims Act
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3,592 articles from the Compliance & Enforcement Brief.
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DC Circuit Determines that Medicare Overpayment Rule Did Not Unfairly Penalize UnitedHealth
Alere Pays $198.75 Million to Settle False Claims for Allegedly Billing Medicare for Defective POC Devices, Not Charging Copays, and Sending Supplies to Deceased Patients
CMS Resumes Targeted Probe and Education (TPE) Program
Small Business Government Contractors Need to Watch Out for Increasing Criminal and False Claims Act Liability in Small Business Government Contracting Programs
Caveat Emptor: Private Equity Firms Are Increasingly Vulnerable to Qui Tam Lawsuits
San Mateo County Will Pay $11.4 Million to Settle Allegations of Billing for Unnecessary Hospitalizations
DC Circuit Clarifies Standard For Determining When A Relator Is Entitled To Recover Under FCA’s “Alternate Remedy” Provision
DOJ, FCA Defendant Spar Over “Abusive” Discovery
Court Declines to Maintain Seal on Voluntarily Dismissed Qui Tam Case to Shield Relator’s Identity; United States District Court for the Southern District of New York No. 20-cv-3207-MKV, U.S. ex rel. Doe v. Horizon Therapeutics PLC, et al.
False Claims Amendments Act: Groundbreaking or Ineffectual?
Government’s Information Sufficient to Add Conspirator to Healthcare Fraud Case; United States District Court for the Middle District of Florida No. 8:21-cv-102-SCB-AEP, U.S. v Mihir Taneja
Fourth Circuit Affirms Dismissal of FCA Case Alleging Incumbent Hired Militia to Delay Contract Transition; United States Court of Appeals for the Fourth Circuit No. 20-1845, U.S. ex rel. ANHAM FZCO v. Supreme Foodservice GMBH
Tennessee Government Pays $6.8 Million FCA Settlement Over Unearned SNAP Funds
Relators Plausibly Allege Debt Collection Vendors Broke Medicare Rules but Can’t Show Their Clients Sought Government Reimbursements; United States District Court for the Northern District of Illinois, Eastern Division, No. 17 C 4457, U.S. ex rel. Kenya Sibley, et al. v. University of Chicago Medical Center, et al.
Fastest 5 Minutes: Buy American Act, the False Claims Act, and COVID Vaccines and Protocols for Contractors
Music to Our Ears—US District Court in Mississippi Raises “Grave Concerns” about “Absurdity” of Potential Recovery in Deciding Whether to Toss False Claims Act Case
Plaintiffs Can’t Show Need for In-Person Inspection of Defendants’ Premises; United States District Court for the District of South Carolina, Aiken Division, No. 1:17-cv-01493-JMC, U.S. ex rel. Tanja Adams, et al. v. Remain at Home Senior Care LLC and Tim Collins
District Court Embraces Expansive View of “Referrals” to include Accessing Records
New Georgia Statute Prohibits Patient Brokering for Substance Abuse Providers
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