Kara Sweet

Kara Sweet

Foley & Lardner LLP

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Anti-Kickback Statute Premised False Claims Cases: The “But For” Causation Standard Finds Support from First Circuit

It’s now 3–1, with the First Circuit (2025) aligning with the Sixth (2023) and Eighth (2022) Circuits finding the meaning of the words “resulting from” — as used in a 2010 amendment to the federal Anti-Kickback Statute (AKS)...more

2/21/2025  /  Anti-Kickback Statute , Appeals , Causation , Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Enforcement Actions , False Claims Act (FCA) , Healthcare Fraud , Medicare , Statutory Interpretation

CMS Extends Delayed Enforcement of the Good Faith Estimate

On Friday, December 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued an FAQ regarding the Good Faith Estimate (GFE) and Convening Provider/Facility requirements in the Federal No Surprises Act. The issued...more

12/8/2022  /  Centers for Medicare & Medicaid Services (CMS) , Department of Health and Human Services (HHS) , Enforcement Actions , Good Faith , Health Care Providers , Insurance Industry , No Surprises Act (NSA) , Uninsured Patients
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