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Category Archives: False Claims Act

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Corporate Actors Held Individually Accountable in Recent False Claims Act Settlement

Posted in False Claims Act, Fraud and Abuse, Medicare, Pennsylvania, Prescription Drugs and Medical Devices, Trends
The Department of Justice (“DOJ”) has sent a clear message that individuals cannot hide behind the corporate shield in its recent settlement with Med-Fast Pharmacy, Inc. and the charges brought against its associated individuals and entities (“Med-Fast”). Under the agreement, which includes a $2.66 million payout by Med-Fast, the DOJ dropped civil charges against the… Continue Reading

False Claims Act Penalties Moving Full Steam Ahead

Posted in False Claims Act
By August 1, 2016, all federal agencies must adjust their civil monetary penalties, including penalties required by the False Claims Act (“FCA”), to account for inflation. Last month, the Railroad Retirement Board, which occasionally has FCA cases, became the first agency to adjust its penalties. These adjustments are in response to Congress’s Bipartisan Budget Act… Continue Reading

Hospice Provider Pays $4 Million to Settle Allegations of Fraudulent Billing

Posted in False Claims Act, Fraud and Abuse
Good Shepherd Hospice, Inc., a for-profit hospice providing services in Oklahoma, Missouri, Kansas, and Texas (“Good Shepherd”), has agreed to pay $4 million to the U.S. government to settle allegations that it submitted false claims for hospice patients who were not terminally ill. Good Shepherd has also agreed to enter into a five-year corporate integrity… Continue Reading

News from the Health Law Gurus™: Week of August 17, 2014

Posted in Affordable Care Act (ACA), Compliance Issues, False Claims Act, Fraud and Abuse, Health Insurance, HIPAA, News from the Health Law Gurus, Stark Law
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories. Chinese Hackers Infiltrate Health System Network Affecting 4.5 Million Individuals – Community Health Systems, Inc. (“CHS”) reported this week… Continue Reading

News from the Health Law Gurus™: Week of July 20th, 2014

Posted in Affordable Care Act (ACA), False Claims Act, Fraud and Abuse, News from the Health Law Gurus, Privacy
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories. Circuit Split on ACA Subsidies—On Tuesday, the Court of Appeals for the D.C. Circuit (“D.C. Circuit”) and the Court… Continue Reading

News from the Health Law Gurus™: Week of July 13th, 2014

Posted in Affordable Care Act (ACA), False Claims Act, Fraud and Abuse, Legislation, News from the Health Law Gurus
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every week for the latest health law news stories. $1 Million Settlement Reached in $73 Million Overbilling FCA Suit—Florida-based Halifax Health (“Halifax”) has settled a False Claims Act… Continue Reading

News from the Health Law Gurus™: Week of June 8th, 2014

Posted in Anti-Kickback Statute, Compliance Issues, False Claims Act, News from the Health Law Gurus, Technology
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every Friday for the latest health law news stories. Burwell Confirmed as HHS Secretary—Last week, the Senate approved of the Obama Administration’s nominee for Secretary of Department of… Continue Reading

News from the Health Law Gurus™: Week of April 27th, 2014

Posted in Affordable Care Act (ACA), False Claims Act, Fraud and Abuse, News from the Health Law Gurus, Technology, Trends
News from the Health Law Gurus™ is a weekly summary of notable health law news from around the country with helpful links to related content. Check back every Friday for the latest health law news stories. FSMB Provides Guidance for State Medical Boards on Use of Telemedicine Technology—The Federation of State Medical Boards (“FSMB”) released… Continue Reading

Seeing Dollar Signs: U.S. Settles with Ophthalmologist for $1.4 Million to Resolve FCA Claims

Posted in False Claims Act, Fraud and Abuse, Medicaid, Medicare
Last week, the United States settled with a Baltimore ophthalmologist for alleged violations of the False Claims Act (“FCA”). Pursuant to the settlement, the ophthalmologist, Dr. John Arthur Kiely, agreed to pay $1.4 million to the government and to be excluded from participation in Medicare and Medicaid for 20 years. Generally, the FCA imposes civil… Continue Reading