In a qui tam action filed under the False Claims Act, the relator, Barbara Senters, appealed the district court’s dismissal of her fourth amended complaint (FAC), which alleged that Quest Diagnostics submitted false claims...more
8/19/2025
/ Amended Complaints ,
Appeals ,
Appellate Courts ,
Clinical Laboratory Testing ,
Dismissals ,
False Claims Act (FCA) ,
Federal Rules of Civil Procedure ,
Healthcare Fraud ,
Lack of Specificity ,
Pleading Standards ,
Pleadings ,
Qui Tam ,
Rule 9(b) ,
Whistleblowers
The Second Circuit has narrowed the wire fraud statute (18 U.S.C. § 1343), ruling that a fraudulent scheme must target property with actual commercial value to the victim; mere confidential business information...more
8/18/2025
/ Confidential Business Information (CBI) ,
Criminal Prosecution ,
Defense Strategies ,
Digital Assets ,
Fraud ,
Litigation Strategies ,
Non-Fungible Tokens (NFTs) ,
Technology Sector ,
Trade Secrets ,
White Collar Crimes ,
Wire Fraud
On July 16, 2025, the U.S. Department of Health and Human Services’ (HHS) Centers for Medicare & Medicaid Services (CMS) published its CY 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule, which includes a sweeping...more
8/7/2025
/ Biologics ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Food and Drug Administration (FDA) ,
Health Care Providers ,
Medical Devices ,
Medicare ,
Notice of Proposed Rulemaking (NOPR) ,
Pharmaceutical Industry ,
Physician Fee Schedule ,
Proposed Rules
The U.S. Department of Justice (DOJ) and the U.S. Department of Health and Human Services (HHS) have formed a new False Claims Act (FCA) Working Group, according to a joint announcement issued by DOJ on July 2, 2025....more
7/7/2025
/ Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Durable Medical Equipment ,
Enforcement Actions ,
Enforcement Priorities ,
False Claims Act (FCA) ,
Fraud ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Medicare
The vast majority of federal white-collar fraud enforcement actions are prosecuted under the wire, mail, or bank fraud statutes. 18 U.S.C. §§ 1341, 1343, and 1344. The Supreme Court’s recent decision in Thompson v. United...more
4/4/2025
/ Bank Fraud ,
Criminal Prosecution ,
Enforcement Actions ,
False Statements ,
FDIC ,
Financial Institutions ,
Fraud ,
Loans ,
Mail Fraud ,
Misleading Statements ,
SCOTUS ,
Statutory Interpretation ,
Thompson v United States ,
White Collar Crimes ,
Wire Fraud
On October 4, 2023, the Deputy Attorney General Lisa O. Monaco announced that the Department of Justice (“DOJ”) has adopted a new department-wide Mergers and Acquisitions Safe Harbor Policy (the “Safe Harbor Policy”) to...more