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15 results found

Article

Bass, Berry & Sims PLC | USA | 8 Jul 2019

Medicare Advantage: Recent Developments in FCA Enforcement

The Medicare Advantage program, which allows private insurance companies to offer and administer Medicare benefits, continues to be an area of sharp

Article

Bass, Berry & Sims PLC | USA | 22 Feb 2019

Supreme Court Asked to Review Pleading Standard and Constitutionality of FCA

On January 14, 2019, Intermountain Healthcare, Inc. and Intermountain Medical Center (Intermountain) filed a petition for writ of certiorari with the

Article

Bass, Berry & Sims PLC | USA | 30 Jan 2019

Healthcare Fraud and Abuse Review 2018

Perhaps the single most appropriate word to describe the current state of the civil and criminal healthcare fraud enforcement environment is

Article

Bass, Berry & Sims PLC | USA | 5 Dec 2018

DOJ Informs Supreme Court that It Will Dismiss FCA Case if Remanded to District Court

On November 30, 2018, the Solicitor General of the United States filed an amicus curiae brief in the closely watched False Claims Act (FCA) lawsuit

Article

Bass, Berry & Sims PLC | USA | 21 Nov 2018

Supreme Court Review Sought on FCA Materiality, Scienter Elements

On Tuesday, November 20, 2018, Defendants-Petitioners Brookdale Senior Living Communities, Inc. et al. (Brookdale) filed a petition for a writ of

Article

Bass, Berry & Sims PLC | USA | 7 Nov 2018

“Significant Abuses of the Statutory Scheme:” District Court Criticizes Practice of Regular Extensions of the FCA Seal Period

The U.S. District Court for the Eastern District of Pennsylvania recently refused to extend the period during which a False Claims Act (FCA) action

Article

Bass, Berry & Sims PLC | USA | 11 Jul 2018

Ninth Circuit Reaffirms Group Pleading Standard in FCA Cases

The Ninth Circuit recently revived a False Claims Act (FCA) suit against Medicare Advantage Organizations (MAOs) related to risk adjustment payments

Article

Bass, Berry & Sims PLC | USA | 13 Mar 2018

Healthcare Fraud and Abuse Review 2017

The sixth annual Healthcare Fraud and Abuse Review 2017 is an in-depth and comprehensive review of enforcement settlements, court decisions and

Article

Bass, Berry & Sims PLC | USA | 15 Mar 2017

Healthcare Fraud and Abuse Review 2016

Since the amendments to the False Claims Act (FCA) in 1986, results in civil matters involving allegations of healthcare fraud and abuse have amounted

Article

Bass, Berry & Sims PLC | USA | 19 Aug 2016

Eighth Circuit Affirms Dismissal of FCA Claims Related to Ambiguous Regulation

On August 12, 2016, the U.S. Court of Appeals for the Eighth Circuit affirmed summary judgment with respect to FCA claims asserted against an

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