Every year, the Department of Justice (DOJ) issues a press release disclosing its recoveries in False Claims Act (FCA) actions for the past fiscal year. The release provides the Department with [...]

The United States has asked the Supreme Court to decide whether the subjective belief of a party accused of submitting a false claim for payment to the Government is sufficient to support a [...]

There are many scenarios in which a company may wish to conduct an internal investigation. Inquiries vary significantly in subject matter, scope, and apparent importance to the business and its [...]

Healthcare is the primary target of federal and state governments when it comes to criminal and civil enforcement actions. From fraud and abuse allegations to prescription drug distribution, it [...]

Nashville is the healthcare capital of the United States. According to the Nashville Health Care Council, the Middle Tennessee area is home to over 500 healthcare companies with an economic [...]

Co-authored by Chris Sabis, Tracy Powell, and Micah Bradley There has been much discussion in the healthcare industry over many years regarding how healthcare entities and providers can partner [...]

Providers who are out-of-network for a patient’s insurance policy often provide services to the insured patient in emergencies or at in-network medical facilities. When this happens, patients are [...]

We have made one more lap around the sun, and it is time for the Department of Justice’s (DOJ) annual press release flexing its False Claims Act (FCA) muscles and touting its fraud-fighting [...]

The U.S. District Court for the Middle District of Tennessee recently issued a number of rulings interpreting the federal False Claims Act (FCA) and its state law counterparts that are relevant [...]

In May, I wrote about some interesting rulings from the Middle District of Tennessee related to the “good cause” standard in False Claims Act (FCA) cases. Under 31 U.S.C. § 3730(c)(3), If the [...]