DOJ Declines to Intervene in Risk Adjustment Qui Tam Suit Brought Against Numerous Medicare Advantage PlansMarch 26, 2020
Deference for Subjective Clinical Judgment Does Not Extend to Whether Provider Actually Conducted the Tests It Billed For; United States District Court for the Southern District of Texas No. H-12-00480, U.S. ex rel. Michael Sorensen v. Outreach Diagnostic Clinic LLPMarch 25, 2020
Requirement to Pay Prevailing Wages Material to Defendant’s Construction Contract Performance and Payments; United States District Court for the Eastern District of Pennsylvania No. 09-4230, U.S. ex rel. International Brotherhood Electrical Workers Local Union No. 98 v. the Farfield CompanyMarch 25, 2020
Relator Cannot Join Distinct False Claims Complaint, Despite Connection to Her Original Lawsuit; United States Court of Appeals for the Second Circuit No. 19-0093, Susan Vierczhalek M.D. v. MedImmune Inc.March 25, 2020
Third Circuit Rejects AseraCare’s “Objective Falsity” Requirement, Allows Scrutiny of Medical Opinions in Hospice False Claims Act CaseMarch 25, 2020
Even if True, Allegation of False Compliance With Small Business Subcontracting Plan Does Not Satisfy Particularity Standard; United States District Court for District of Columbia No. 15-750 (RC), U.S. ex rel. PCA Integrity Associates LLP v. NCO Financial Systems Inc. et al.March 24, 2020
VA Employee Found Guilty of Corruption Charges and Defrauding VA of Nearly $19 Million in a YearMarch 24, 2020
Villages Dermatologist Agrees To Pay More Than $1.7 Million To Settle False Claims Act Liability For Inflated Medicare ClaimsMarch 24, 2020
