If a whistleblower brings a False Claims Act (FCA) claim against a defendant, and the government forgoes intervening in the FCA case and instead chooses to pursue criminal prosecution and forfeiture proceedings, the Eleventh...more
On July 20, 2018, the U.S. District Court for the District of Columbia dismissed claims against URAC Inc., a Washington, D.C.-based nonprofit healthcare accreditation agency (URAC) by BHM Healthcare Solutions Inc., a...more
On June 19, 2018, hospital patient plaintiffs in the NorthShore University Health System (NorthShore) antitrust lawsuit, relating to Evanston Northwestern’s purchase of Highland Park Hospital in 2000, asked the federal judge...more
On May 18, 2018, the Department of Justice announced a settlement with a hospice facility for $2.5 million regarding what was characterized as “documentation errors” by the facility. Health and Palliative Services of the...more
On April 24, 2018, CMS issued the annual Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System (PPS) Proposed Rule for FY 2019 (the Proposed Rule) which will...more