Federal Judge Rules that False Claims Act Case Can Move Forward Against Gentiva Health Services

Federal Judge Rules that False Claims Act Case Can Move Forward Against Gentiva Health Services

On June 25, a federal court held that Gentiva Health Services – a home-health agency that provides home-health services to more than 350,000 patients nationwide – must face charges that it violated the False Claims Act by falsely certifying patients … Continue reading »

Government Files Lawsuit against IPC The Hospitalist Accusing the Company of Upcoding

Government Files Lawsuit against IPC The Hospitalist Accusing the Company of Upcoding

Earlier this month, the U.S. Justice Department filed a lawsuit against IPC The Hospitalist Company, Inc. and its subsidiaries (IPC), alleging that the company violated the False Claims Act by knowingly overbilling for hospital evaluation and management services billed to … Continue reading »

Third Circuit Adopts Less Rigid Rule 9(b) Standards

Third Circuit Adopts Less Rigid Rule 9(b) Standards

A Rule 9(b) motion to dismiss is often the first big hurdle that a False Claims Act lawsuit faces. Under Rule 9(b) of the Rules of Civil Procedure, a relator in a False Claims Act lawsuit must allege the “circumstances … Continue reading »

Proposed Legislation Impacts False Claims Act

Proposed Legislation Impacts False Claims Act

  Fraud, waste, and abuse have become a significant problem not just for taxpayers, but for employees, fair-dealing businesses, and patients. Since January 2009, the Justice Department has recovered more than $19 billion through False Claims Act cases, with more … Continue reading »

Corporate Fraud and the False Claims Act

Corporate Fraud and the False Claims Act

Although many False Claims Act cases involve violations of health care laws such as the Stark Law and fraud on government health care programs, there is also a significant number of False Claims Act cases that involve corporate fraud. The … Continue reading »