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...
False Claims
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...
The already broad power of the FCA just got bigger
The False Claims Act (FCA) is one of the federal government's largest tools when it comes to allegations of healthcare fraud. The Department of Justice (DOJ) reports that it received over $2 billion as a result of FCA cases during the fiscal year ending in September...
Court gives defendants a tool to fight fines in FCA cases
Think False Claims Act (FCA) damage awards are getting out of hand? You are not alone. The Eleventh Circuit recently agreed to hear a case that questioned whether or not these cases could qualify for relief under the Eighth Amendment protections against excessive...
The DOJ just gave prosecution a big advantage in FCA cases
President Joe Biden’s Administration just gave its government attorneys a hammer to use when building False Claims Act (FCA) cases against medical providers throughout the country. The hammer comes in the form of a memo from Attorney General Merrick Garland. Attorney...
What are the penalties for a False Claims Act violation?
The False Claims Act (FCA) is a federal law that allows the government to hold those financially accountable who it believes have knowingly submitted false claims for payment to the government. A common example is a health care provider filing a false or fraudulent...
Three things medical practices should know about false claims
Billing Medicare and other insurance providers is not always straightforward. Some may struggle to keep up to date with the ever-changing language that guides billing practices while others are trying to run a medical practice with reduced staff. In any of these...
Important takeaway from hospital’s recent FCA win
The False Claims Act (FCA) is a federal law that provides accountability for anyone that submits false claims to the government. This law applies to any hospital or healthcare provider who submits claims for payment from Medicare or Medicaid, along with other...