false claims act

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OIG Reminds Healthcare Providers of Fraud Risk Factors When Deciding whether to Exclude a Healthcare Provider

Nov 19, 2018 at 09:53 am by steve

With the continued proliferation of qui tam False Claims cases showing no signs of slowing down, not only must providers consider the amount of any monetary settlements, they.... Read More

The Materiality Standard in False Claims Actions

Sep 09, 2016 at 02:19 pm by steve

The Supreme Court decided Universal Health Services v. U.S. ex rel. Escobar on June 16, 2016 in which it ruled the implied false certification theory, previously recognized in.... Read More

CMS Finalizes the 60 Day Overpayment Rule

Mar 08, 2016 at 10:10 am by steve

The Department of Health and Human Services’ (HHS) Center for Medicare and Medicaid Services (CMS) published its final rule on Friday, February 12, 2016. The final.... Read More

The Federal False Claims Act - Violations of Conditions of Payment or Conditions of Participation?

Mar 11, 2015 at 01:57 pm by steve

With the increase of Qui Tam lawsuits alleging violations of the federal False Claims Act ("FCA"), it is important to understand that FCA liability maybe predicated on whether.... Read More