U.S. ex rel. Stewart v. The Louisiana Clinic

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2002 WL 1066745 (E.D.La. Case No. Civ.A. 99-1767, May 28, 2002). The False Claims Act whistleblower attempted to identify fraudulent schemes with enough detail to meet Fed.R.Civ.P. Rule 9(b)’s requirement that all averments of fraud be plead “with particularity.” However, his complaint identified actions taken by “the defendants,” and did... Continue Reading →

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United States ex rel. Camillo v. Ancilla Systems, Inc.

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2005 WL 1926559 (S.D.Ill. Case No. 03 CV 0024 DRH, Aug. 8, 2005) Defendant Kenneth Hall Regional Hospital, Inc., moved to dismiss the whistleblower’s amended complaint, as it was not an original defendant. As a result, the government had never reviewed the claims against it and made an intervention decision,... Continue Reading →

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United States ex rel. Tucker v. Nayak

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2008 WL 907432, *2 (S.D.Ill. Case No. 06-CV-662-JPG, April 2, 2008) The FCA whistleblower moved to amend her complaint. The Defendant, Dr. Nayak, objected, arguing that amendment was futile as the amendment still failed to plead with the particularity required by Fed.R.Civ.P. 9(b). The Court, reviewing the proposed amended complaint,... Continue Reading →

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United States ex rel. Gross v. AIDS Research Alliance-Chicago

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415 F.3d 601 (7th Cir. 2005) The whistleblower alleged that the Defendants filed a myriad of different “forms, written reports and study results” during the course of a federally-subsidized study. He did not state when the documents were filed, did not specifically identify any of them, and did not allege... Continue Reading →

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False Claims Exposure in Credentialing and Peer Review

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The Federal Government has reinforced its expanded theory of false claim liability for quality matters by settling allegations against a hospital that a physician’s lack of qualifications to perform certain surgical procedures should be considered a false claim, regardless of the patient’s outcome. As part of the settlement, the hospital... Continue Reading →

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A Twenty Year Statute of Limitations?

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Last month the Centers for Medicare & Medicaid Services (CMS) published proposed rules for reporting of overpayments. These proposed rules, if adopted and strictly interpreted, could effectively create a twenty-year statute of limitations under the False Claims Act.... Continue Reading →

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February FCA Update

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February was an interesting month, with one case showing how OIG advisory opinions can be taken too far, another considering fraud under a corporate integrity agreement, and a court applying burden-shifting for the first time at the appellate level in FCA retaliation cases. Cases reviewed from February are: US ex rel.... Continue Reading →

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False Claims Act Update, January 2012

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January, 2012, saw two different examples of the Government using the False Claims Act to bring a gun to a knife fight. In the first case the gun won the day. In the second, it backfired. Both cases were brought in the U.S. Court of Federal Claims and in both... Continue Reading →

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False Claims Act Update, December 2011

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What must a successful FCA defendant show to collect attorney’s fees under the Equal Access to Justic Act? Can an error by the government create an FCA violation by a defendant relying upon the government’s acts? Does Vermont Agency of Natural Resources v. US ex rel. Stevens apply to FCA... Continue Reading →

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