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On November 1, 2012, the American Hospital Association (AHA) and four healthcare providers brought suit against HHS for maintaining a policy of refusing to pay for medically necessary care provided to patients
Effective January 17, 2012, the Office of Medicare Hearing and Appeals (OMHA) implemented a centralized docketing system requiring ALJ hearing requests related to Qualified Independent Contractor (QIC) decisions nationwide to be submitted to a Centralized Docketing Office in Cleveland, rather than OMHA field offices
In Schindler Elevator Corp. v. United States ex rel. Kirk, the U.S. Supreme Court recently held that False Claims Act (FCA) allegations based on federal agency responses to Freedom of Information Act (FOIA) requests are considered public disclosures under the FCA public disclosure bar
The Cleveland Clinic received a subpoena that ordered it to appear as a witness before a grand jury and produce certain books, papers, documents and other objects relating to the medical treatment of a patient
On November 24, 2009, the Seventh Circuit issued a decision narrowing its own prior ruling in Edgewater Hospital v. Bowen, 857 F.2d 1123 (7th Cir. 1989), in which it held that an intermediary's decision not to reopen an issue can constitute an appealable determination
