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DOJ Moves to Dismiss 11 Patient Assistance Services FCA Cases

USA - December 24 2018 In a remarkable move, the Department of Justice (DOJ) recently sought dismissal of 11 False Claims Act (FCA) cases, each of which assert that patient...

Shannon L. Wiley, Michael R. Hess, John E. Kelly, Lindsey Brown Fetzer.

DOJ Moves to Dismiss 11 Patient Assistance Services FCA Cases

USA - December 21 2018 In a remarkable move, the Department of Justice (DOJ) recently sought dismissal of 11 False Claims Act (FCA)...

Shannon L. Wiley, Michael R. Hess, John E. Kelly, Lindsey Brown Fetzer.

Judicial Opinions Support Delay of Recoupment from Audit Appeals Until After ALJ Hearings in Certain Circumstances

USA - September 28 2018 Recent opinions by the Fifth Circuit, the Northern and Southern Districts of Texas, and the District of South Carolina offer hope to providers seeking...

Brian D. Bewley, Brianna R. Powell, Anna M. Grizzle.

Sprinting to Coordinated Care: Healthcare Industry Urges Stark Law Relief as OIG Solicits Feedback on Changes to the Anti-Kickback Statute & Civil Monetary Penalties Law

USA - September 7 2018 August 24, 2018 marked a busy day for the U.S. Department of Health & Human Services' (HHS) self-designated "Regulatory Sprint to Coordinated Care,"...

Kaitlyn L. Dunn, Nesrin Garan Tift, Danielle M. Sloane, Elizabeth S. Warren.

Stark Under the Microscope: Congress and HHS Examine Reform of the Stark Law for a Value-Based System

USA - July 18 2018 On July 17, 2018, the U.S. House of Representatives' Ways and Means Committee Subcommittee on Health ("Subcommittee") expressed its commitment to...

Cynthia Y. Reisz, Brian D. Bewley, Angela Humphreys, John E. Kelly, Anna M. Grizzle.