There have been several noteworthy False Claims Act (FCA) settlements in the second quarter of 2023.
Four of these settlements have come in over $20 million. This post summarizes key settlements of interest....more
7/18/2023
/ Anti-Kickback Statute ,
Department of Justice (DOJ) ,
False Billing ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Hospitals ,
Kickbacks ,
Medical Devices ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Popular ,
Settlement ,
Stark Law
On February 7, the Department of Justice (DOJ) issued a press release indicating that settlements and judgments under the False Claims Act (FCA) exceeded $2.2 billion in the fiscal year ending September 30, 2022. Of this...more
4/5/2023
/ Corporate Counsel ,
Department of Justice (DOJ) ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Long Term Care Facilities ,
Manufacturers ,
Medical Devices ,
Pharmaceutical Industry ,
Physicians ,
Prescription Drugs ,
Skilled Nursing Facility ,
Suppliers
The second quarter of 2022 brought a number of noteworthy False Claims Act (FCA) settlements, including several of $20 million or more. This post summarizes key settlements of interest to healthcare providers....more
7/21/2022
/ Anti-Kickback Statute ,
Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
False Claims Act (FCA) ,
Health Care Providers ,
Hospitals ,
Kickbacks ,
Medicaid ,
Medicare ,
OIG ,
Paycheck Protection Program (PPP) ,
Physicians ,
Settlement ,
Whistleblowers
The Cybersecurity and Infrastructure Security Agency (CISA), the Federal Bureau of Investigation (FBI), and the Department of Health and Human Services (HHS) recently issued a Joint Cybersecurity Advisory in light of...more
12/23/2020
/ Coronavirus/COVID-19 ,
Cyber Crimes ,
Cybersecurity ,
Cybersecurity Information Sharing Act (CISA) ,
Data Breach ,
Department of Health and Human Services (HHS) ,
FBI ,
Health Care Providers ,
Healthcare Facilities ,
Hospitals ,
Ransomware
This is the second post of a two-part discussion of FCA pleading standards and discusses the pleading requirements for connecting a fraudulent scheme to the submission of false claims. Read our previous post on the...more
In recent years, healthcare providers have increasingly faced civil and criminal enforcement actions premised on the allegation that services billed to government healthcare programs were not medically necessary. As a result,...more
10/9/2018
/ Appeals ,
Civil Liability ,
Criminal Prosecution ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
False Statements ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Jury Verdicts ,
Medical Necessity ,
Medical Reimbursement ,
Physicians ,
Reversal