Feb 13, 2023 | False Claims Act
On February 7, 2023, the Department of Justice (DOJ) published its annual False Claims Act (FCA) statistics covering FY2022 recoveries (ending September 30, 2022). And although the data shows a drop-off from 2021 in some key areas, it would be misleading to describe...
Dec 30, 2022 | Health Care, Medicare and Medicaid
In 2014, the Centers for Medicare & Medicaid Services (CMS) published its then-long-awaited final rule implementing and interpreting the “60-day” overpayment rule, which was signed into law by President Obama four years prior as part of the Affordable Care Act. ...
Dec 2, 2022 | Criminal Matters, Government Investigations, Health Care Fraud, White Collar Crime
On November 30, 2022, the Third Circuit Court of Appeals issued a significant decision affecting sentencing in white collar crime cases. In United States v. Banks, the defendant was convicted on fraud and other related charges. As alleged by the government, the...
Nov 28, 2022 | Government Contract, Government Investigations, White Collar Crime
On Monday, November 28, the U.S. Supreme Court will hear Percoco v. United States, a case involving the “honest-services fraud statute” and whether a private citizen can be convicted for bribery and fraud. The case involves a former New York state...
Nov 22, 2022 | False Claims Act, Fraud Investigations, Government Contract, Government Investigations
In fiscal year 2021, just under 90% of the government’s False Claims Act (FCA) recoveries came from within the healthcare industry. The year prior, that figure was a bit lower, but still over 83%. It is safe to say, then, that the “vast majority” of FCA...
