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County Health System and Non-Profit Health Care Providers Agree to Pay $68M to Resolve Alleged False Claims

Jul 6, 2023 | False Claims Act

On June 29, 2023, the U.S. Department of Justice (“DOJ”) announced that Santa Barbara San Luis Obispo Regional Health Authority, d/b/a CenCal Health (“CenCal”), a county-organized health system, and three non-profit medical providers – Cottage Health System...

Supreme Court Decision Clarifies Government’s Dismissal Authority in Qui Tam False Claims Act Cases

Jun 26, 2023 | False Claims Act

On June 16, the Supreme Court issued a crucial decision in the case of United States el rel. Polansky v. Executive Health Resources, Inc., et al. In this landmark ruling, Justice Elena Kagan, writing for an eight to one majority, resolved a circuit split and...

Top Compliance Officer Convicted of $50M Medicare Fraud Scheme

Jun 26, 2023 | False Claims Act

The U.S. Department of Justice has reported the conviction of a Chief Compliance Officer in a massive Medicare fraud scheme.  According to the DOJ’s press release, a high-ranking healthcare executive, Steven King, was found guilty of orchestrating a fraudulent scheme...

Supreme Court Decision Clarifies Government’s Dismissal Authority in Qui Tam False Claims Act Cases

Jun 21, 2023 | False Claims Act

On June 16, 2023, the United States Supreme Court issued a crucial decision in the case of United States el rel. Polansky v. Executive Health Resources, Inc., et al. In this landmark ruling, Justice Elena Kagan, writing for an eight to one majority, resolved a circuit...

In a Unanimous Decision, Supreme Court Preserves “Subjective Belief” Scienter Requirement in FCA Cases

Jun 7, 2023 | False Claims Act

In a previous blog post, the attorneys at Chilivis Grubman wrote about two consolidated cases that were pending before the U.S. Supreme Court (“SCOTUS”), U.S. ex rel. Schutte v. SuperValu Inc. and U.S. ex rel. Proctor v. Safeway, relating to the proper scienter...

Surgeon To Serve 6.5 Years In Prison And Could Pay More Than $60 Million Related To FCA Allegations

May 30, 2023 | False Claims Act

On May 25, 2023, the U.S. Department of Justice announced that Vasso Godiali, a Michigan vascular surgeon, was sentenced to 6.5 years (80 months) in prison following a plea agreement.  Dr. Godiali pled guilty to defrauding Medicare, Medicaid, and private insurers by...
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