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3,592 articles from the Compliance & Enforcement Brief.
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OIG Advisory Opinion Allows ASC Joint Venture by Management Company and Hospital-Employed Physicians
Defendants Show String of Communications Showing Agency Knew and Approved of Conduct Relator Alleged was Fraudulent; United States District Court for the Central District of California No. 2:18-cv-05964-CAS(RAOx), U.S. ex rel. Nathan Lewis v. California Institute of Technology
Relator Failed to Define a Regulatory Standard from which Defendants Allegedly Deviated; United States District Court for the Western District of Pennsylvania No. 2:19-CV-01220-CCW, U.S. ex rel. Diana Zaldonis v. University of Pittsburgh Medical Center, et al.
OIG Removes Mandatory Cost-Sharing Obligations for COVID-19 Ambulance Transport Waiver
Court Won’t Enforce Release of Claims Signed Before Relator Learned of Alleged Fraud; United States District Court for the Northern District of Texas, Dallas Division, No. 3:16-CV-1975-S, U.S. ex rel. Tina Haight v. RRSA (Commercial Division), et al.
Public Disclosure Bar Doesn’t Apply to Prior Pleading in Same Action; United States District Court for the District of Nevada No. 2:19-cv-01560-JAD-VCF, U.S. ex rel. Tali Arik v. DVH Hospital Alliance LLC, et al.
Fraudulent Acquisition of Healthcare Entity Did Not Implicate Later Claims for Medicare Reimbursement; United States District Court for the District of New Jersey No. 3:19-cv-18753-FLW-ZNQ, U.S. ex rel. David Freedman v. Bayada Home Health Care Inc., et al.
DOJ Announces $22 Million False Claims Act Settlement with the University of Miami for Provider-Based and Lab Billing Issues
Georgia Man Charged with Claiming Maryland Unemployment Benefits for Illinois Residents
Relators Alleged Inside Information about Billing Practices, but Provided No Details of Improper Physician Payments, Claims to Medicare; United States Court of Appeals for the Eleventh Circuit, Estate of Debbie Helmly, et al. v. Bethany Hospice and Palliative Care of Coastal Georgia LLC, et al.
Magistrate Grants Motion for Leave to Amend over Defendants’ Futility Argument; United States District Court for the Middle District of Tennessee, Nashville Division, No. 3:17-cv-00902, U.S. and Tennessee ex rel. Jeffrey Liebman and David Stern M.D. v. Methodist Le Bonheur Healthcare, et al.
Pharmacy Owner Sentenced to Prison for TRICARE Fraud
Ninth Circuit Weighs In On Fraud-On-The-FDA Theory, Marketing Devices For Off-Label Use, And Kickbacks
How the Truth Is False: Accurate Prescription Drug Event Data Can Trigger False Claims Act Liability
Court Not Impressed by “Wait and See” Approach to Amending Complaint When Relator Claims He Knew of Allegations All Along; United States District Court for the Eastern District of Pennsylvania No. 16-683, U.S., et al. ex rel. Timothy Sirls v. Kindred Healthcare Inc., et al.
Opportunities for Cost Savings Not Evidence of Fraud; United States District Court for the Western District of Oklahoma No. 20-CV-00576-PRW, John D. Adams v. ATAC Services LLC and Science Applications International Corporation
Emerging False Claims Act Risk In Trade: Recent False Claims Act Developments Increase Trade Exposure (Part III)
Sixth Circuit Creates Circuit Split, Allows Former Employee’s FCA Retaliation Claim
No Such Thing as a Free Massage: Relator Adequately Alleged Clinic Offered Free Services to Induce Medicare Beneficiary Appointments; United States District Court for the Northern District of Indiana, Hammond Division, No. 2:18-cv-210, U.S. and Indiana ex rel. Dion Snider v. Centers for Pain Control Inc. and Chetan Puranik M.D.
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