The Benefits of a Rule 53 Special Master
Many federal district courts contend with large case volumes that tax both time and resources. Nashville has seen significant growth over the last decade – growth that has not been met with a [...]
Key Takeaways From DOJ’s Annual FCA Recoveries Press Release: FY 2022 Edition
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 [...]
Government Asks Supreme Court to Weigh in on the Knowledge Element of the False Claims Act: Does Evidence of Subjective Intent Matter in All Cases?
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 [...]
The First Rule of Internal Investigations: Get a Lawyer
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 [...]
Dental Providers Recent Targets of Government Enforcement Actions
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 [...]
Recent MDTN Decision Gives False Claims Act Plaintiffs a Wide Berth Under FRCP 9(b) When Alleging Wide-Ranging Fraudulent Schemes
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-management agreement pitfalls and best practices: A case study
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 [...]
The No Surprises Act Takes Effect: Get Your IDR On
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 [...]
Key Takeaways From DOJ’s Annual FCA Recoveries Press Release: FY 2021 Edition
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 [...]
Federal Court Rules Anti-Kickback Statute Can Apply to Services Provided to Long-Term Care Residents Who Are Not Covered by State Medicaid Plan
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 [...]
