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DOJ Attacked Fraud in 2020 With a Record Number of FCA Cases
A record number of False Claims Act (FCA) matters were initiated in FY 2020, according to newly released Department of Justice (DOJ) statistics. At…
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Is it Safe to Order Prescription Drugs by Mail?
Millions of Americans receive their prescription drugs by mail, some not by choice. According to the Kaiser Family Foundation’s (KFF) 2019 Employer Health Benefits…
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Hospital Cleared in $16M Med Mal Suit Alleging Falsified Records, Appeal Underway
A 5-year court battle in a multi-million dollar medical malpractice lawsuit involving allegations of nursing negligence and subsequent attempts to cover it up ended…
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Supreme Court Deals Blow to Data-Driven Whistleblowers
The Supreme Court’s refusal to review a False Claims Act (FCA) case was a setback to whistleblowers (also known as relators) who allege fraud…
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Standards of Care in Medical Malpractice Cases: Respectable Minority vs. Two Schools of Thought
What constitutes reasonable care and treatment in the context of a doctor-patient relationship? The answer to this question has evolved in complex ways in…
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NC Court Rules Informed Consent is Binding Unless There is Fraud
When patients sign a valid consent form for surgery or another procedure, they will have a difficult time proving they did not give informed…
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Medicaid Waivers 101: How They Work & How They Have Evolved with Recent Case Law
Representing a complex intersection of law and medicine, Medicaid waivers are legal provisions that set aside certain rules of the Medicaid program so that…
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$18m FCA Settlement Offers Companies a Lesson: Don’t Ignore Your Chief Compliance Officer
A recent $18 million False Claims Act (FCA) settlement demonstrates the risks companies take when they ignore their Chief Compliance Officer’s (CCO) concerns about…
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Home Care vs. Home Healthcare: Liability for Medication Exposes a Key Difference
People often think of home care and home healthcare as the same thing, but the terms are not interchangeable. The critical distinction is that…
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