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Brian P. Dunphy

Mintz

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Tenth Circuit Revives FCA Claim Based on Alleged Lack of Medical Necessity

USA - July 15 2018 The Tenth Circuit Court of Appeals has issued a significant decision, finding that a physician’s medical judgment about the medical necessity of heart...


President’s Budget Blueprint Increases Funds For Health Care Fraud Enforcement

USA - March 16 2017 The President has released a “budget blueprint” for fiscal year 2018. Although there are many aspects of the budget blueprint to digest, several...


Fourth Circuit Permits DOJ to Reject an FCA Settlement, But Punts Decision on Statistical Sampling

USA - February 22 2017 In a closely watched False Claims Act (“FCA”) case, the Fourth Circuit Court of Appeals decided that the Department of Justice (“DOJ”) has an...

Laurence J. Freedman.


Health Care Enforcement Review and 2017 Outlook: Significant Health Care Fraud and Abuse Civil Settlements and Criminal Resolutions

USA - January 10 2017 In this final installment of our Health Care Enforcement Review and 2017 Outlook series, we analyze health care enforcement trends gathered from 2016...

Kevin M. McGinty, Karen S. Lovitch.


Penalties For Health Care Law Violations Surge

USA - September 21 2016 The civil monetary penalties for violations of myriad health care laws continue to rise. In June, we discussed the enormous increase in penalties...