Ninth Circuit Holds That the FCA Does Not Require Objective Falsehoods and That False Certification of Medical Necessity May Give Rise to FCA Liability

The Ninth Circuit revived a whistleblower suit in which Jane Winter, a registered nurse, alleged that Gardens Regional Hospital, S&W Health Management Services, RollinsNelson, and various physicians orchestrated medically unnecessary inpatient admissions resulting in the submission of more than $1.2 million in false claims to Medicare.