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Buckman preemption fraud on the coast guard
  • Dechert LLP
  • USA
  • October 23 2012

Don’t roll your eyes at us the way a daughter does when her mother is about to tell a story about the mother’s college years for the sixth, seventh . . . OK 100th time

Ohio Supreme Court upholds the Controlling Board's Medicaid expansion
  • Bricker & Eckler LLP
  • USA
  • December 24 2013

The Ohio Supreme Court issued an important decision in the lawsuit that challenged the authority of the Ohio Controlling Board (Board) when the Court

NLRB roundup Part 1: Obama Board continues apace reversing Bush Board decisions, expanding labor laws
  • Haynes and Boone LLP
  • USA
  • October 14 2011

Since our last summary, the Obama Board has taken significant steps to further outgoing Chairman Liebman’s stated goal of bringing the Board “back to life after a long period of dormancy”

Consent and capacity remain thorny issues for healthcare providers and commissioners
  • Eversheds LLP
  • United Kingdom
  • March 30 2012

The Court of Appeal ruling this month in the case of DL v A Local Authority 2012 has placed the issue of consent in the healthcare sector back into the public domain

The $330-million dollar question
  • Sheppard Mullin Richter & Hampton LLP
  • USA
  • February 10 2014

The question every false claims defendant must face is whether to pursue litigation or simply concede and settle. While many shy away from litigation

US defeated at trial on “below cost discounting” claims
  • Sidley Austin LLP
  • USA
  • October 15 2012

One theory of FCA liability that we are seeing with increasing frequency in the healthcare context is that suppliers have offered discounted bids for goods or services that are “below cost” in an effort to “pull through,” or induce the purchasing entity to refer, more lucrative business that is reimbursable by federal healthcare programs

CMS open door forum on manual medical review of therapy claims (Sept. 5)
  • Reed Smith LLP
  • USA
  • August 31 2012

On September 5, 2012, CMS is hosting a Special Open Door Forum (ODF) on Manual Medical Review of Therapy Claims

Whistleblower cannot rely on stolen patient records
  • Reed Smith LLP
  • USA
  • August 31 2012

A recent decision by the United States District Court for the Southern District of Ohio may make it much harder for qui tam relators to rely upon stolen medical records or patient information in False Claims Act (“FCA”) whistleblower actions

Supreme Court declines review of Medicare secondary payer decision: three key takeaways
  • McGuireWoods LLP
  • USA
  • October 8 2012

On Oct. 1, 2012, the Supreme Court of the United States declined review of a 6th Circuit decision that upheld the government's authority under Medicare Secondary Payer law to recover all expenses paid on behalf of a Medicare beneficiary when that beneficiary, in turn, recovers from a third party

Financial Institutions E-briefing: Personal Injury Bulletin: Costs and procedure - Patterson v Ministry of Defence
  • Eversheds LLP
  • United Kingdom
  • November 19 2012

The issue in this case is whether non-freezing cold injury (NFCI) was to be defined as a disease or as an injury when considering success fees and the CPR 45