Hospice Agrees to Pay $5.5 Million for Allegedly Billing Medicare for Non-Terminal PatientsNovember 30, 2021
Department of Justice Announces New Civil Cyber-Fraud Initiative – What This Means for Federal ContractorsNovember 29, 2021
Government Does Not Measure CID Response by Weight; United States District Court for the District of New Mexico No. 21mc24 WJ/SCY, in re: Civil Investigative Demand No. DNM 20-08November 29, 2021
FCA Defendant Can’t Use His Kids to Shield Assets; United States District Court for the District of South Carolina, Beaufort Division, No. 9:14-0230-RMG, U.S. v BlueWave Healthcare Consultants Inc. et al.November 29, 2021
South Carolina Chiropractor Admits Wrongdoing, Will Pay $9 Million False Claims Act JudgmentNovember 29, 2021
Medicare Advantage Enforcement: DOJ Advances New Theories Based on Retrospective Chart ReviewsNovember 24, 2021
Court Orders Bank Defendants to Produce Documents That Could Help Scuttle Their Summary Judgment Motions; United States District Court for the Eastern District of Texas, Sherman Division, No. 4:14-CV-00833, U.S. ex rel. Andrew Mitchell v. CIT Bank N.A., et al.November 24, 2021
Court Finds Reasonable Inference of False Claims When Patients Are Covered Only by Medicare; United States District Court for the District of Rhode Island No. 1:18-CV-000435-JJM-LDA, U.S. ex rel. John Carbon v. Care New England Health System, et al.November 24, 2021
Relator Can’t Demonstrate Scienter When Defendants Followed CMS Reporting Guidance; United States District Court for the Northern District of Illinois, Eastern Division, No. 19 C 825, Patrick Lupinetti v. Exeltis USA Inc., et al.November 24, 2021
Index Rates 62% of Countries at High/Critical Risk of Defense and Security CorruptionNovember 24, 2021
Second Circuit Says Lower Court Erred in Considering Government Audits Outlining AECOM Billing Issues; United States Court of Appeals for the Second Circuit No. 20-2756-cv, U.S. ex rel. Hassan Foreman v. AECOM Government Services Inc.November 23, 2021
In Another Blow to the “Uninsurability” Defense, Court Holds that Settlement Labeled “Restitution” is InsurableNovember 23, 2021
Challenge to Relator’s Standing in Separate Qui Tam Publicly Disclosed Allegations in Defendants’ Response Suit; United States District Court for the District of Minnesota No. 20-cv-0704 (WMW/DTS), The Cameron-Ehlen Group Inc. v. Kipp FesenmaierNovember 23, 2021
Made It By That Much: Relator Cites Cases Supporting Materiality, but Government’s Lack of Intervention Leaves Court Dubious; United States District Court for the District of New Jersey No. 16-1817 (RMB/KMW), U.S. ex rel. Sharon Lampkin v. Pioneer Education LLC, et al.November 23, 2021
