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1,265 articles from the Compliance & Enforcement Brief.
Articles
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Court Nudges Relator to Identify More Facts to Support Alleged Kickback Scheme; United States District Court for the Middle District of Florida No. 8:18-cv-396-T-36JSS, U.S. ex rel. Christina Paul v. Biotronik Inc.
Poorly Written Complaint Inconsistently Defined Billing Codes, Failed to Describe Insurance Program Billing Requirements; United States District Court for the Northern District of California No. 19-cv-03105-VKD, Kristen Petrick, et al. v. Stars Bay Area Inc.
Defendants’ Own Lawsuits Showed Knowledge of Regulation Effective Date; United States District Court for the District of Colorado No. 18-cv-00792-RBJ, U.S. ex rel. Kathryn McIver, et al. v. ACT for Health Inc., et al.
Automatic Billing System Strongly Suggests Submission of False Claims; United States District Court for the Western District of Texas, Austin Division, No. 1:18-cv-00806-RP, U.S. ex rel. Cecelia Young v. Kindred Healthcare, et al.
Fraudulent Pricing Not Actionable Without Evidence Government Paid It; United States District Court for the District of Maryland No. No. SAG-17-0570, U.S. ex rel. David Harris v. Ellison Systems Inc.
Non-Parties Duck Subpoenas Seeking Minimally Relevant Information; United States District Court for the Western District of North Carolina No. 3:16-CV-00750-GCM, U.S. ex rel. Daniel Hayes M.D. v. Charlotte Mecklenburg Hospital Authority
I’m a Relator, Not a Doctor! Lack of Billing, Medical Knowledge Dooms Medicare Fraud Claims; United States District Court for the Middle District of Florida No. 8:16-cv-961-T-27AEP, U.S. ex rel. Delia Bell v. Cross Garden Care Center LLC, et al.
FCA Retaliation Claim Not Covered by Relator’s Arbitration Agreement; United States District Court for the Middle District of Tennessee, Nashville Division, No. 3:13-CV-01025, U.S. ex rel. Paul Dorsa v. Miraca Life Sciences Inc.
Sixth Circuit Finds No Appealable Issue in Denial of Motion to Dismiss; United States Court of Appeals for the Sixth Circuit No. 20-5007, U.S. ex rel. Paul Dorsa v. Miraca Life Sciences Inc.
Bench Trial Needed to Determine Whether Government Waited Too Long to Enforce Civil Penalties; United States Court of Appeals for District of Columbia Circuit No. 19-5070, U.S. v Douglas F. Greer, et al.
Malicious Prosecution Case Should Be Handled in District Where Underlying Qui Tam was Filed; United States District Court for the Southern District of West Virginia, No. 2:20-cv-00639, Marietta Area Healthcare Inc., et al. v. Michael A. King, et al.
Multiple Motions to Compel Discovery Best Resolved by Original Court; United States District Court for the Western District of Missouri, Western Division, No. 21-MC-09005-SRB. U.S. ex rel. Chris Purcell, et al. v. Gilead Sciences Inc.
Difference Between CMS Conditions of Participation and Conditions of Payment Not Dispositive to Materiality; 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.
Relator Failed to Show Employer Knew He Engaged in Protected Activity; United States District Court for the Middle District of Florida, Tampa Division, No. 8:14-cv-778-T-33AAS, Darius Clarke M.D., et al. v. HealthSouth Corporation, et al.
Relator’s SAC IDs False Claims and Statements in Alleged Financial “Recycling” Scheme; United States District Court for the District of Arizona No. CV-18-8040-PCT-DGC, U.S. ex rel. Gregory Kuzma v. Northern Arizona Healthcare Corporation, et al.
Eleventh Circuit Looks Outside Payment Decision to Reverse District Court Holding on Materiality; United States Court of Appeals for the Eleventh Circuit No. 19-12736, U.S. ex rel. Victor E. Bibby, et al. v. Mortgage Investors Corporation, et al.
False Statements About Personnel, Facilities Enough to Support Complaint About Fraud on SBIR/STTR Programs; United States District Court for the District of New Jersey No. 20-5094, U.S. v. Wavefront LLC, Jie Yao, and Feng Sun
Relators Cannot Allege Implied False Certification Theory and Rely on Discovery to Support it; United States District Court for the District of California No. 19-cv-02233-DMR, U.S. ex rel. Carl Kelley and Michael McElligott v. McKesson Corporation
Allegations of Ongoing Fraud Might Clear Public Disclosure Bar, but not when Government Still Monitoring Defendant; United States Court of Appeals for the Sixth Circuit No. 20-5301, U.S. ex rel. Gurpreet Maur M.D. v. Elie Hage-Korban, et al.
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