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A Federal District Court Rules That Ignoring Medicare Billing Problems Might Support a “Reverse” False Claims Act Case

Posted on Health Care Law News April 21, 2013 by author

On March 28, 2013, in United States ex rel. Keltner v. Lakeshore Medical Clinic, Ltd., a federal district judge denied the Defendant medical clinic’s Rule 9(b) motion to dismiss the False Claims Act complaint for failing to plead fraud with particularity. The Relator in Keltner was a former billing department employee who alleged that the Read more →

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Previously Excluded Health Care Provider Reinstated to Medicare Program

Posted on Firm News April 5, 2013 by author

After having been convicted a decade ago in a Medicare kickback case, and being subsequently excluded from participation in the Medicare Program, the health care provider engaged Nicholson & Eastin, LLP to assist him with seeking reinstatement to the Medicare Program. Reinstatement as a Medicare provider after exclusion is not automatic, and can in many Read more →

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Seventh Circuit Adopts the “Net Loss” Method of Calculating Damages in False Claims Act Cases

Posted on Health Care Law News March 29, 2013 by author

On March 21st, the Seventh Circuit Court of Appeals held in a matter of the first impression that a defendant found liable under the False Claims Act (FCA), 31 U.S.C. § 3729, must pay three times the amount of the Government’s “net loss,” calculated by applying offsets before trebling. United States v. Anchor Mortgage Corp., Read more →

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Court Rules That Statute of Limitations for False Claims Act Cases Extended During Time of War

Posted on Health Care Law News March 26, 2013 by author

In an important development in False Claims Act jurisprudence, the Fourth Circuit Court of Appeals recently clarified that the normal six year statute of limitations applicable to False Claims Act cases can be tolled pursuant to the Wartime Suspension of Limitations Act (WSLA), 18 U.S.C. § 3287, which generally tolls the statute of limitations in Read more →

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Supreme Court Limits Statute of Limitations in Securities Fraud Cases

Posted on White Collar News February 28, 2013 by author

In Gabelli et al. v. SEC, 586 U.S.__ (2013), the U.S. Supreme Court issued an important unanimous opinion curtailing the SEC’s enforcement authority. More specifically, in April 2008, the SEC filed a Complaint alleging investment adviser fraud against Marc J. Gabelli, the portfolio manager of the mutual fund Gabelli Global Growth Fund, and Bruce Alpert, Read more →

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