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News/Compliance & Enforcement/Fraudulent Billing to Private Insurer Alone Does Not Create Strong Inference False Claims Were Submitted to Medicare; United States District Court for the Central District of California, No. CV 17-8446 PSG (JPRx), U.S. ex rel. Charles Puhl et al. v. Terumo BCT et al.
False Claims Act·Compliance & Enforcement Brief

Fraudulent Billing to Private Insurer Alone Does Not Create Strong Inference False Claims Were Submitted to Medicare; United States District Court for the Central District of California, No. CV 17-8446 PSG (JPRx), U.S. ex rel. Charles Puhl et al. v. Terumo BCT et al.

The district court dismissed a qui tam case alleging the defendants engaged in a scheme to defraud Medicare by enticing healthcare providers to use incorrect billing codes for their products, finding that the relator had not shown how the allegedly incorrect codes were given to healthcare providers or that any physicians had used them.

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