8/11/2025 2:21:04 PM Sixth Circuit Likely Next to Consider FCA’s Constitutionality Under Article II By Sarah Cummings Stewart Selina Coleman On July 28, 2025, the U.S. District Court for the Southern District of Ohio certified for interlocutory appeal to the U.S. Court of...
8/5/2025 2:36:03 PM CMS Launches WISeR Model to Target Waste by Leveraging (Broken) Prior Authorization System By Nancy Halstead Sarah Cummings Stewart Caitlin Chambers The Centers for Medicare & Medicaid Services (CMS) recently announced the launch of the Wasteful and Inappropriate Service Reduction...
7/3/2025 3:07:10 PM DOJ and HHS Launch Joint False Claims Act Working Group By Scot T. Hasselman Selina Coleman Allie Klimkiewicz On July 2, 2024, the Department of Justice (DOJ) and the Department of Health and Human Services (HHS) announced the formation of a new...
6/9/2025 2:19:44 AM Florida judge once again rules against constitutionality of False Claims Act relators By Selina Coleman Sarah Cummings Stewart Matthew Loughran Judge Kathryn Kimball Mizelle in the Middle District of Florida has once again ruled that the qui tam relator provisions of the False...
2/21/2025 8:53:43 PM FBA’s Qui Tam Conference reinforces that FCA Enforcement is here to stay By Kate Seikaly Selina Coleman Allie Klimkiewicz At the Federal Bar Association’s (FBA) Annual Qui Tam Conference on February 20, 2025, Department of Justice (DOJ) representatives...
1/21/2025 2:12:22 PM DOJ exceeds $2.9 billion in FCA recoveries in 2024 and reports a record number of qui tams By Brian Bewley Selina Coleman Sarah Cummings Stewart Kristin Parker Matthew Loughran +2 more... Show less On January 15, the Department of Justice (DOJ) reported that False Claims Act (FCA) recoveries for civil cases in fiscal year 2024...
12/3/2024 12:00:00 PM Medicare overpayment rule standard changes finalized in 2025 CMS Physician Fee Schedule By Scot T. Hasselman Nancy Halstead Tom Greeson Nicole Aiken-Shaban Kaitlyn Dunn Peter Terreri Matthew Loughran +4 more... Show less In the final 2025 Medicare Physician Fee Schedule, which is set to be published in the Federal Register on December 9, the Centers for...
10/1/2024 3:50:07 AM Are False Claims Act Whistleblower Cases Unconstitutional? By Selina Coleman Matthew Loughran Are the qui tam provisions of the False Claims Act an unconstitutional delegation of authority to private citizens? One federal court,...
2/26/2024 3:16:27 AM DOJ Announces $2.7 Billion in FCA Recoveries and Enforcement Priorities By Selina Coleman Sarah Cummings Stewart Megan Engel Andrew Lu Matthew Loughran +2 more... Show less The Department of Justice (DOJ) reported that its False Claims Act (FCA) recoveries for civil cases raked in approximately $2.7 billion...
11/15/2023 4:32:06 PM No Criminal Charges for Cooperative Medicare Advantage Organization By Sarah Cummings Stewart Ryan Pate On October 26, 2023, the Department of Justice (“DOJ”) announced that a Miami federal grand jury returned an indictment charging a...
11/7/2023 6:46:53 PM HHS OIG Issues General Guidance as First Step in Effort to Modernize Compliance Guidance By Nicole Aiken-Shaban Lesley Reynolds Matthew Loughran As promised back in April in an announcement of its plans to modernize compliance program guidance, the Department of Health and Human...
2/20/2023 10:16:15 PM FCA enforcement going strong in 2022, particularly in declined health care qui tams By Selina Coleman Sarah Cummings Stewart Kate Seikaly Megan Engel Jessica Christensen Andrew Lu +3 more... Show less On February 16, 2023, the Federal Bar Association (FBA) kicked off its sixth annual Qui Tam Conference with its customary “Year in...
12/27/2022 5:05:37 AM CMS Proposes Amending Identified Overpayment Rules to Align with FCA Knowledge Standard By Megan K. Ali The Centers for Medicare & Medicaid Services (“CMS”) has proposed a new rule that, among other changes, would amend the “identified...
9/28/2022 4:05:37 AM Eighth Circuit Finds “But-For” Causation Standard for AKS-Premised FCA Cases By Ryan Pate The U.S. Court of Appeals for the Eighth Circuit recently weighed in on the causation standard for False Claims Act (“FCA”) cases...
5/25/2022 8:41:15 PM SCOTUS Review of Rule 9(b) in False Claims Act cases may be on the way By James Segroves Matthew Loughran Supreme Court review of Rule 9(b)’s application in False Claims Act cases may finally be coming whether the Executive Branch likes it or...
2/25/2022 3:15:16 AM FBA’s 2022 Qui Tam Conference Puts Annual Spotlight on FCA Enforcement Trends and Developments By Selina Coleman Sara Brinkmann Andrew Lu On February 23, 2022, the Federal Bar Association (FBA) kicked off its fifth annual Qui Tam Conference to highlight key areas for False...