A group of lawmakers claim “flawed court interpretations” have led to a loophole within the False Claims Act (FCA). In an effort to put an end to this loophole, these lawmakers have proposed the False Claims Amendments Act of 2023. What is the loophole? The lawmakers...
False Claims
The feds claim I violated the False Claims Act. How long will this case take?
Allegations of a violation of the False Claims Act (FCA) are serious. Physicians must make sure their billing practices are in line with this and other federal regulations or they can face steep financial penalties and potential imprisonment. Any physician who learns...
Who gets to decide if medical treatment is adequate or excessive?
Physicians and other healthcare professionals enter the medical field to help provide care to patients. Each individual professional will vary slightly in how they provide care. This is normal. What can be frustrating is the question of who gets to decide if a...
What do I need to know about the Supreme Court’s recent FCA ruling?
The False Claims Act (FCA) is a powerful legal tool used by the government to go after those it believes are attempting to defraud government programs for their own financial gain. Powerful and well used, as this law is responsible for over $78 billion in recouped...
Three things your business must do if accused of false claims
Doctors, medical personnel and healthcare administrators must follow specific rules, as is the operation of a medical practice, medical facility and hospital. There are aspects of managing a medical facility, including filing claims on behalf of patients, which are...
Can nurses keep working if accused of misconduct?
It depends on several factors, including the nature of the accusation. Nurses form an essential part of society and medical staff, and an accusation of misconduct can come as a very unpleasant surprise, and it can cause great harm. Who can file a complaint against a...
How long does it take to resolve an investigation for False Claims?
Congress enacted the False Claims Act (FCA) to hold those who wrongly bill the government accountable with steep financial penalties. Not only does the government expect those who violate the FCA to pay the money back, they can also require treble (or triple) the...
First three steps when business is accused of an FCA violation
Those who receive notification of a False Claims Act (FCA) violation are wise to take the matter seriously. The United States Department of Justice (DOJ) is known to aggressively pursue these allegations and, if possible, will push for criminal charges. In a recent...
Texas officials’ crackdown on FCA violations
Texas authorities will "not tolerate" healthcare providers who put personal gain over patient care according to the U.S. Attorney for the Eastern Distribution of Texas. The official made this proclamation shortly after the Department of Justice (DOJ) announced 15...
Feds get more than $5 billion in healthcare related false claims cases
The United States Department of Justice (DOJ) recently reported that it recovered $5.6 billion in settlements and judgments from civil false claims cases in 2021. This is significant as it marks the second-largest total of recovered funds under the False Claims Act...