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1,265 articles from the Compliance & Enforcement Brief.
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No FCA Claim Where CMS Not Billed for Allegedly Unnecessary Medical Tests; United States District Court for the Western District of Missouri, Southern Division No. 17-3273-CV-S-BP, U.S. ex rel. Charles Rasmussen D.O. v. Essence Group Holdings Corporation, et al.
Mintz Levin Beats Lawsuit Alleging FCA Investigation Arose from Bad Advice; United States District Court Northern District of Alabama, Southern Division, No. 2:18-cv-01453-ACA, Thomas E. Reynolds as Trustee for Atherotech Inc. v. Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.
Refusal to Engage in Fraudulent Activity Also a Protected Activity; United States District Court for the Central District of California No. CV 17-8446 PSG (JPRx), U.S. ex rel. Charles Puhl v. Terumo BCT, et al.
State Audits Identified Individual Invalid Claims, but Did Not Put State on Notice of Ongoing Misconduct; United States District Court for the Central District of California No. CV 14-6891-DMG (RZx), U.S. ex rel. Judith Zissa v. Santa Barbara County Alcohol, Drug, & Mental Health Services, et al.
Failure to Meet Academic Accreditation Guidelines Not Automatically Material to Government’s Grant Funding; United States District Court for the District of New Jersey Civ. No. 16-1817 (RMB/KMW), U.S. ex rel. Sharon Lampkin v. Pioneer Education LLC, et al.
New Evidence Supports Governments’ Late Intervention in Healthcare Fraud Case; United States District Court for the Middle District of Tennessee, Nashville Division, No. 3:17-cv-00689, U.S. and Tennessee ex rel. Gary Odom and Ross Lumpkin v. Southeast Eyes Specialists PLLC, et al.
Department of Commerce Scope Ruling Renders Defendants’ Import Statements False, but Scienter Still in Question; United States District Court for the Central District of California No. 2:17-cv-04393-RGK-KS, U.S. ex rel. Island Industries v. Vandewater International Inc., et al
Court Declines to Grant Stay When Outside Proceedings and Appeals Have Indefinite Duration; United States District Court for the Central District of California No. 2:17-cv-04393-RGK-KS, U.S. ex rel. Island Industries v. Vandewater International Inc., et al
Relator Had Knowledge of Misconduct but Not Actual False Claims; United States District Court for the Northern District of Ohio No. 1:15cv2355, U.S. ex rel. Girishwar Sharma v. Miraca Life Sciences Inc.
Summary Judgment Inappropriate When Many Facts Remain in Dispute; United States District Court for the Eastern District of Pennsylvania No. 02-2964, U.S. ex rel. Yoash Gohil v. Sanofi U.S. Services Inc., et al.
Government Claims Based on AKS Violations False as a Matter of Law; United States District Court for the Middle District of Tennessee, Nashville Division No. 3:13-cv-0760, U.S. ex rel. Gregory M. Goodman v. Arriva Medical LLC, et al.
Relator Waived Ability to Claim Original Source Exception to Public Disclosure Bar; United States Court of Appeals for the Sixth Circuit No. 19-3646, U.S. ex rel. Kathi Holloway v. Heartland Hospice Inc., et al.
Contract Language, Not Subjective Belief, Controls Whether Behavior Was Fraudulent; United States District Court for the Central District of Illinois No. 11-3290, U.S. ex rel. Tracy Schutte and Michael Yarberry v. SuperValu Inc., et al.
Government Audits Disclosed Possible Fraud but Relators’ Personal Experience Lets Them Duck Public Disclosure Bar; United States District Court for the Central District of Illinois, Rock Island Division No. 11-4022, U.S. ex rel. Geoffrey Howard and Zella Hemphill v. KBR Inc., et al.
District Court Sides with DOJ on Unfettered Right to Veto Qui Tam Cases; United States District Court for the Northern District of Alabama, Southern Division, No. 2:19-CV-00229-RDP, U.S. ex rel. Erin Horsley v. Comfort Care Home Health LLC, et al.
Medical Device Manufacturer Not Liable for Doctor’s FCA Liability; United States Court of Appeals for the Third Circuit No. 19-2768, Labib Riachi v. The Prometheus Group, et al.
Court Can’t Say Sanctions Warranted Without Further Discovery; United States District Court for the Middle District of Florida No. 8:16-cv-961-T-27AEP, U.S. ex rel. Delia Bella v. Cross Garden Care Center LLC, et al.
Expert Witnesses Cannot Use Discovery Information to Launch Own Qui Tam Action; United States District Court for the District of Massachusetts No. 12-10896-MPK, U.S. ex rel. Dr. Antoni Nargol & Dr. David Langton v. DePuy Orthopaedics Inc., et al.
Relators Plausibly Alleged Hospital Overbilled Medicare by Submitting False Facility Addresses, Billing Codes; United States District Court for the District of Idaho No. 2:17-cv-00314-CWD, U.S. ex rel. Robbie Garrett and James Daniel Garrett v. Kootenai Hospital District
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