On July 28, the federal district court in the Southern District of Ohio issued a pair of orders in related whistleblower cases under the False Claims Act (FCA): United States ex rel. Murphy v. TriHealth, Inc., et al., No....more
8/1/2025
/ Anti-Kickback Statute ,
Appeals ,
Article II ,
Constitutional Challenges ,
False Claims Act (FCA) ,
Federal Court Litigation ,
Health Care Providers ,
Healthcare Fraud ,
Hospitals ,
Physician Compensation Arrangements ,
Physicians ,
Qui Tam ,
Stark Law ,
Whistleblowers
On June 30, the Department of Justice (DOJ) announced the largest coordinated health care fraud enforcement effort in U.S. history, involving criminal charges against over 300 defendants and over $14.6 billion in health care...more
7/9/2025
/ Artificial Intelligence ,
Cloud Computing ,
Coronavirus/COVID-19 ,
Criminal Prosecution ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Claims Act (FCA) ,
Health Care Providers ,
Healthcare Fraud ,
Medicaid ,
Medicare ,
Paycheck Protection Program (PPP) ,
Prescription Drugs ,
Risk Management
Government contractors, health care providers and many other parties who submit claims for payment to the federal government are subject to liability under the False Claims Act (FCA). This month, the U.S. Supreme Court issued...more
On January 9, 2023, the U.S. Supreme Court denied Pfizer Inc.’s petition for a writ of certiorari. The denial brought the pharmaceutical company’s lawsuit challenging the breadth of the federal Anti-Kickback Statute (AKS) to...more
In 2020, we published an eAlert titled “Telehealth in a Changing World - Trending Risks and How to Minimize Potential Exposure.” As we predicted would happen, the government has become acutely focused on telehealth fraud....more
10/13/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
False Billing ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
OIG ,
Physicians ,
Telehealth ,
Unnecessary Medical Procedures