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1,265 articles from the Compliance & Enforcement Brief.
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Relator Failed to Describe Alleged False Statements or Show How They Contributed to Fraudulent Billings; United States District Court for the Middle District of Florida No. 8:18-cv-2931-T-33AAS, U.S. and State of Florida ex rel. James Pepio v. Prometheus Laboratories Inc.
Wrong Physician Name on Invoice Not Material to Payment; United States District Court for the Eastern District of Kentucky, No. 16-148-DLB-EBA, U.S. ex rel. Robert C. O’Laughlin M.D. v. Radiation Therapy Services P.S.C., et al.
Anti-Kickback Act Violations Limited to Healthcare Context as Basis for Fraud Claim; 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) LLC, et al.
Unclear Sales Presentation, Contradictory Contract Terminology Create Genuine Disputes of Material Fact in Symantec FCA Case; United States District Court for the District of Columbia No. 12-800 (RC), U.S. ex rel. Lori Morsell, et al. v. Symantec Corporation
Accurate Commercial Sales Pricing Practices Clearly Material to GSA’s Decision to Form Schedule Contract; United States District Court for the District of Columbia No. 12-800 (RC), U.S. ex rel. Lori Morsell, et al. v. Symantec Corporation
Stark Law Provides No Private Cause of Action, but FCA Complaint Otherwise Survives Motions to Dismiss; United States District Court for the Western District of Oklahoma No. CIV-16-0569-F, U.S. ex rel. Wayne Allison, et al. v. Southwest Orthopedic Specialists PLLC, et al.
FCA Defendants Can Be Held Individually Liable for Others’ Misrepresentations; United States District Court for the Western District of Texas, Austin Division No. A-19-CV-00945-JRN, U.S. v. Lakeway Regional Medical Center LLC, et al.
Actual Medical Necessity Irrelevant When Medicare Guidelines Not Followed; United States District Court for the Western District of Kentucky No. 4:20-CV-00066-JHM, United States v. Kishor N. Vora M.D., et al.
DOL Needs to Improve Debarment Processes to Ensure Foreign Labor Program Violators are Held Accountable
Relators Failed to Show False Third-Party Billings and Regulatory Violations Resulted in False Claims; 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.
Government’s FCA Case Can Proceed Despite Bankruptcy Filing; United States District Court for the District of Nevada No. 2:19-cv-00467-GMN-NJK, U.S. v. LASR Clinic of Summerlin LLC, et al.
Insurers on Hook for Qui Tam Defense Costs After Waiving Notice Requirement; United States District Court for the Northern District of Georgia, Atlanta Division, No. 1:18-cv-01991-SDG, SavaSeniorCare LLC v. Starr Indemnity and Liability Company and Aspen American Insurance Company
Over-Valuation of Acquired Medical Facility Might Be Illegal Kickback; United States District Court for the District of Arizona No. CV18-8041-PCT-DGC, U.S. ex rel. Gregory Kuzma v. Northern Arizona Healthcare Corporation, et al.
Relator Adequately Alleged Financial “Recycling” Scheme but No Actual False Claim; 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.
Materiality of Cyber Defect Questionable When Agencies Could Have Worked with Vendor to Address It; U.S. District Court for the District of Columbia No. No. 15-cv-608 (TFH), U.S. ex rel. Phillip M. Adams v. Dell Computer Corporation et al.
Just in Time for Flu Season: Qui Tam Case Alleging Roche Mispresented Efficacy of Tamiflu Can Proceed: United States District Court for the District of Maryland No. GLR-14-3665, U.S. ex rel. Thomas Jefferson v. Roche Holding AG, et al.
OCI Reporting Covered by FCA, but Too Much Time Passed Between Whistleblowing and Termination; United States District Court for the Northern District of Alabama, Northeastern Division, No. 5:17-cv-1797-LCB, Mary Dobbins Katerheinrich v. Al-Razaq Computing Services
Investigator’s Reports Covered by Work Product Doctrine; United States District Court for the Middle District of Tennessee, Northeastern Division, No. 2:13-cv-00035, U.S. et al., ex rel. Debra Norris v. David G. Florence
Delegation of Defective Pricing Authority to the Defense Contract Management Agency
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