The US Justice Department announced on January 9, 2020, that there were large recoveries in the procurement fraud sector because of claims brought through the Federal False Claims Act. SomeRead MoreFalse Claims Act Summary for 2019 – Procurement Fraud
False Claims Summary for 2019 – Other Types of Fraud
In its January 9, 2020 press release, the US Justice Department announced approximately $3 billion in recoveries for the fiscal year 2020. In addition to healthcare and procurement fraud cases,Read MoreFalse Claims Summary for 2019 – Other Types of Fraud
False Claims Act Summary for 2019 – Individual Accountability
The US Justice Department announced on January 9, 2020 that nearly $ 3 billion was recovered by the Department of Justice in False Claims Act cases. While many of theRead MoreFalse Claims Act Summary for 2019 – Individual Accountability
False Claims Act Summary for 2019 – Healthcare Fraud
The US Justice Department announced on January 9, 2020, that the agency had recovered more than $3 billion in fiscal year 2019 through cases brought through the False Claims Act.Read MoreFalse Claims Act Summary for 2019 – Healthcare Fraud
Columbus Pain Clinic and Owner Agree to Pay $650,000 to Resolve Allegations of Unnecessary Procedures
The US DOJ announced on January 24, 2020 that “Comprehensive Pain Management Institute and its owner, Leon Margolin, M.D., have agreed to pay the United States $650,000 to resolve FalseRead MoreColumbus Pain Clinic and Owner Agree to Pay $650,000 to Resolve Allegations of Unnecessary Procedures
Reasons the DOJ May Decide to Intervene in a False Claims Act Case
Whistleblowers are encouraged to file False Claims Act cases to disclose fraud involving payments by the government. The whistleblower claims are called qui tam actions. The qui tam actions oftenRead MoreReasons the DOJ May Decide to Intervene in a False Claims Act Case
Reasons the DOJ May Decide Not to Intervene in a False Claims Act Case
The US Department of Justice has three options when a whistleblower files a qui tam action: It can decide to intervene. Intervention means the DOJ will agree to prosecute theRead MoreReasons the DOJ May Decide Not to Intervene in a False Claims Act Case
Stark Law versus the Anti-Kickback Statute
Violations of either Stark Law or the Anti-Kickback Statute are usually grounds for filing a claim under the False Claims Act. Whistleblowers who know of instances where a physician hasRead MoreStark Law versus the Anti-Kickback Statute
What is Stark Law and how does it relate to the False Claims Act?
Stark Law is a set of laws that regulate how and under what circumstances physicians can make referrals. The starting point is the doctors cannot refer a patient to anyRead MoreWhat is Stark Law and how does it relate to the False Claims Act?
Exceptions to Stark Law Violations
While Stark Law violations usually lead to allegations a medical practice, hospital, or health entity also violated the False Claims Act; whistleblowers do need to understand that Stark Law doesRead MoreExceptions to Stark Law Violations