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The Tuomey saga continues jury rules that Tuomey violated the Stark Law and False Claims Act

Bricker & Eckler LLP
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USA
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May 10 2013

After a four-week trial watched closely by many in the health care industry, on May 8, 2013, a jury concluded that Tuomey Healthcare System in Sumter

Health care fraud enforcement remains hot as HEAT continues aggressive enforcement of health care laws in 2013

Bricker & Eckler LLP
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USA
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May 8 2013

False Claims Act (FCA) developments have splashed the health care headlines in recent weeks reflecting continued aggressive health care fraud

Doctor’s sympathetic statement to patient cannot be used as evidence of liability

Bricker & Eckler LLP
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USA
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May 7 2013

On April 23, 2013, the Ohio Supreme Court issued its opinion in Estate of Johnson v. Randall Smith, Inc., Slip Opinion No. 2013-Ohio-1507. In Johnson

Ignoring possible billing errors may be enough to support a "reverse" false claims lawsuit

Bricker & Eckler LLP
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USA
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April 11 2013

On March 28, 2013, a federal trial court in Wisconsin ruled that a medical clinic's failure to further investigate findings from internal billing

Health care providers take note: your contract with an HMO may require affirmative action compliance, even if it doesn’t say so

Bricker & Eckler LLP
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USA
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April 10 2013

On March 30, 2013, the U.S. District Court, District of Columbia, confirmed that contracting with an HMO to provide medical services to federal

U.S. Supreme Court rules for FTC in hospital merger case

Bricker & Eckler LLP
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USA
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February 27 2013

In Federal Trade Commission v. Phoebe Putney Health System, Inc., 568 U.S. ___ (2013), a unanimous decision issued on February 19, 2013, the U.S

Federal Appeals Court rules that a Medicare recovery audit contractor’s decision to reopen a claim for review is beyond judicial scrutiny

Bricker & Eckler LLP
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USA
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October 30 2012

The Ninth Circuit Court of Appeals recently held that a provider was not permitted to raise the issue of whether “good cause” existed to support the RAC decision to reopen a payment determination because the RAC decision to reopen was beyond review

U.S. Supreme Court upholds the Affordable Care Act

Bricker & Eckler LLP
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USA
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June 28 2012

Today, by a vote of 5-4, the Supreme Court upheld the Patient Protection and Affordable Care Act (PPACA

Supreme Court will hear case involving FTC’s challenge to the merger of only two hospitals in Albany, Georgia,and the extent of the antitrust exemption under the state action doctrine

Bricker & Eckler LLP
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USA
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June 27 2012

The U.S. Supreme Court announced on June 25th that it will hear the FTC v. Phoebe Putney Health System, Inc. case involving an Federal Trade Commission challenge to the merger of the only two hospitals in Albany, Georgia

FTC affirms order requiring promedica to divest itself of St. Luke's Hospital

Bricker & Eckler LLP
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USA
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April 6 2012

The Federal Trade Commission on March 22, 2012 upheld the Administrative Law Judge’s Initial Decision and Order requiring ProMedica Health System in Toledo to divest itself of St. Luke’s Hospital

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