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The FCA Insider Blog

Articles: 1-10 of 155

CMS Settles Record Number of Stark Self-Disclosures

USA - September 18 2023 The Centers for Medicare & Medicaid Services (CMS) recently released data on its 2021 and 2022 settlements of voluntary self-disclosures related to…

Eleventh Circuit Affirms Order for $1.195 Million in Restitution and 48 Month Sentence in Commercial Insurance Healthcare Fraud Case

USA - July 25 2023 Last month, the Eleventh Circuit upheld a $1.195 million restitution order and 48-month sentence against Carlos Verdeza for three counts of…

U.S. Supreme Court Clarifies DOJ’s Authority to Dismiss Whistleblowers’ False Claims Act Suits, Questions Constitutionality of Qui Tam Provisions

USA - July 24 2023 In United States ex rel. Polansky v. Executive Health Resources, Inc., the U.S. Supreme Court recently resolved a circuit split[1] by holding that in…

Regional Hospital System and Two Physicians Pay More Than $69 Million to Settle False Claims Act, Involving Allegations of Improper Financial Relationships With Referring Physicians

USA - July 18 2023 On March 29, 2023, the U.S. District Court for the Eastern District of Michigan granted the parties’ joint stipulation for dismissal in U.S. ex. Rel…

Complex AKS/Stark Complaint Survives Rule 9(b) Particularity Challenge - A Guide for FCA Complaints

USA - July 14 2023 In U.S. v. Genesis Global Healthcare, 2023 WL 3656925 (S.D. Ga. May 25, 2023), a Georgia district court denied three (3) Motions to Dismiss the…

Home Cooking: Washington Transfers Venue to Court in State

USA - July 5 2023 Earlier this year, the U.S. District Court for the Western District of Oklahoma granted Washington State’s motion to intervene to transfer venue to…

Temporary Allies: Opposing Parties Successfully Sue VA for FCA-related Discovery

USA - June 21 2023 A Kansas federal court recently ruled against the United States Department of Veterans Affairs (VA) in litigation arising out of a discovery dispute…

Seventh Circuit Upholds Decision In Favor of Insured Party Seeking Coverage for False Claims Act Settlement

USA - May 23 2023 On May 3, 2023, the US Court of Appeals for the Seventh Circuit sided with the policyholder, resolving a large insurance coverage dispute relating to…

OIG to Expand Informal Guidance with New FAQs

USA - April 26 2023 The Office of Inspector General (OIG) has announced that it is expanding the topics it considers for new Frequently Asked Questions (FAQs) submitted…

Pharmaceutical Suppliers Beware: Expect Increased Scrutiny of Average Wholesale Pricing Methodology and Marketing “The Spread”

USA - April 24 2023 A Texas federal court recently denied a pharmaceutical supplier’s motion to dismiss claims brought by a whistleblower under the federal False Claims…