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Health Care FCA Decisions Applied to Criminal Case

USA - March 14 2017 False Claims Act (“FCA”) cases involving medical necessity continue to receive great attention. A March 7, 2017 opinion that overruled a jury’s…

Laura S. Perlov, Mark A. Srere.

CMS Final Rule Prohibits Pre-Dispute Arbitration Agreements: Will it Withstand Scrutiny?

USA - October 19 2016 On September 28, 2016, the Centers for Medicare & Medicaid Services (“CMS”) released its first major rule affecting long-term care facilities since…

Anne P. Sharamitaro, Caitlin M. Hartsell, Laura S. Perlov, Whitney Horrell.

7th Circuit Requires Objective Standards When Pleading Medical Necessity Under the FCA

USA - September 28 2016 The Seventh Circuit recently added an arrow to a False Claims Act (FCA) defendant's quiver by requiring relators to plead fraud allegations based on…

Alexis L. Kirkman, Laura S. Perlov, Mark A. Srere.

Causes of Healthcare Data Breaches

USA - September 16 2016 Pursuant to the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), covered entities (e.g. healthcare providers and health plans)…

Pou-I Lee.

Proposed 2017 Budget Savings Proposals Would Impact Providers - But Recent, Significant Decision on RACs May Soon Put Funds Back in Providers’ Pockets

USA - February 17 2016 While providers would certainly feel the pinch from the FY 2017 budget request submitted by President Barack Obama, hospitals have some new hope on…

Anne P. Sharamitaro, Caitlin M. Hartsell, Laura S. Perlov, Pou-I Lee, Whitney Horrell.