Blog - Archive for Health Care Law News

FDA Issues Safety Alert Regarding Fraudulent Botox

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

The Food and Drug Administration (FDA) issued a safety alert on April 26, 2013 warning health care providers and the public about fraudulent Botox being sold in the United States.  The fraudulent Botox is being peddled to physicians through blast faxes which offer Botox at discount prices.  The faxes list the names of the seller Read more →

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Medicare Issues Important Change Regarding Ordering and Referring Provider Information on Claim Forms

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

Beginning May 1, 2013, claims for all covered Medicare Part B, durable medical equipment, orthotics, and supplies (DMEPOS), and Part A home health agency (HHA) services will be denied when the ordering or referring provider is not enrolled in Medicare, or the claim does not properly list the National Provider Identification (NPI) number for the Read more →

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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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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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