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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...

Georgia Federal Judge Denies Motion to Dismiss False Claims Act Suit Over Medical Kickback Scheme

May 30, 2023 | False Claims Act

On May 25, 2023, U.S. District Judge R. Stan Baker denied motions to dismiss a False Claims Act (“FCA”) suit brought by two whistleblowers over an alleged medical kickback scheme. The whistleblowers filed a qui tam suit in the Southern District of Georgia in 2018,...

Court Enters $487 Million Judgment Against Precision Lens and Owner for Illegal Kickbacks

May 17, 2023 | False Claims Act

On Monday, May 15, 2023, U.S. District Judge Wilhelmina M. Wright entered judgment against Defendants Precision Lens and its owner Paul Ehlen in the amount of $487 million for violations of the False Claims Act (“FCA”) and Anti-Kickback Statute (“AKS”). In February...
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