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FCA Update Blog

Articles: 1-10 of 231

New Guidance on Medicare Payment Rule Enforcement

USA - December 5 2019 A few days before Thanksgiving, the news media published an internal memo by the Office of General Counsel (OGC) at the US Department of Health and…

Stark Law Proposed Change Affects Group Practice Special Rules for Productivity Bonuses, Profit Shares

USA - October 22 2019 On October 9, 2019, the US Department of Health and Human Services Centers for Medicare and Medicaid Services (CMS) published proposed changes to the…

HHS Proposes Substantial Changes to the Stark Law and the Anti-Kickback Statute Regulations

USA - October 9 2019 On October 9, 2019, the US Department of Health and Human Services (HHS) published proposed changes to the physician self-referral law (Stark Law)…

DOJ Preserves Its Options in Cooperation Credit Guidance

USA - June 21 2019 Last month, the Civil Division of the Department of Justice (DOJ) announced the release of formal guidance to DOJ civil attorneys on how to award…

Unanimous Supreme Court Ruling Expands Statute of Limitations for Filing Qui Tam Cases

USA - June 18 2019 On May 13, the US Supreme Court (the Court) unanimously ruled in Cochise Consultancy, Inc., v. U.S. ex rel. Hunt that the “government knowledge”…

First of Its Kind: Drug Wholesaler Accepts DPA and Two Executives Face Criminal Charges in SDNY For Illegal Distribution of Opioids

USA - May 6 2019 On April 23, 2019, the US Department of Justice (DOJ) announced it has entered into a deferred prosecution agreement with Rochester Drug Co-Operative…

Eighth Circuit Rejects FCA Claim for Failure to Allege Actual Claims for Payment

USA - March 11 2019 On February 11, 2019, the Eighth Circuit affirmed the dismissal of a group of relators’ qui tam suit against Crawford County Memorial Hospital for…

Questions Remain for the EHR Industry as a Second EHR Vendor, Greenway Health, Settles False Claims Act Allegations

USA - February 26 2019 DOJ announced on February 6, 2019, the Settlement Agreement resolving allegations in DOJ’s Complaint that Greenway caused its customers to submit…

DOJ Expands New Enforcement Tactic - Obtains TRO to Prevent Pharmacy From Dispensing Opioids

USA - February 13 2019 On February 8, 2019, the Department of Justice (DOJ) announced that it obtained a temporary restraining order (TRO) in the Middle District of…

Process Improvements Not a Basis to Establish Scienter: District Court Grants Summary Judgment to Defendants

USA - January 22 2019 In a January 10, 2019, decision, the US District Court for the District of Arizona granted summary judgment to Defendants because Relators failed to…