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Primary Care Providers Win Challenge of CMS Interpretation of Enhanced Payment Law

With the help and support of the Tennessee Medical Association, 21 Tennessee physicians of underserved communities joined together and retained Bass, Berry & Sims to file suit against the Centers for Medicare & Medicaid Services to stop improper collection efforts. Our team, led by David King, was successful in halting efforts to recoup TennCare payments that were used legitimately to expand services in communities that needed them. Read more

Tennessee Medical Association & Bass, Berry & Sims

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Download the Healthcare Fraud & Abuse Review 2017, authored by Bass, Berry & Sims

The Healthcare Fraud & Abuse Review 2017 details all healthcare-related False Claims Act settlements from last year, organized by particular sectors of the healthcare industry. In addition to reviewing all healthcare fraud-related settlements, the Review includes updates on enforcement-related litigation involving the Stark Law and Anti-Kickback Statute, and looks at the continued implications from the government's focus on enforcement efforts involving individual actors in connection with civil and criminal healthcare fraud investigations.

Click here to download the Review.

Ninth Circuit Reinstates FCRA Claim


February 12, 2014

In Robins v. Spokeo, Inc., the U.S. Court of Appeals for the Ninth Circuit recently held that a plaintiff had Article III standing to pursue a claim for statutory damages under the Fair Credit Reporting Act (FCRA), even in the absence of actual harm. The decision reversed the judgment of the district court, which had dismissed the lawsuit on the basis that the plaintiff's mere recitation of a violation of the FCRA was not sufficient, by itself, to constitute injury in fact under Article III.

As we previously have reported, this issue – whether a plaintiff must allege actual harm in order to maintain constitutional standing – continues to make its way up to the federal circuit courts of appeal under the FCRA, the Real Estate Settlement Procedures Act (RESPA), and other federal consumer protection statutes. Robins adds to a growing number of appellate court decisions that have rejected defendants' attempts to short circuit class action lawsuits based on the argument that plaintiffs lack Article III standing. Given the Ninth Circuit's prior decision in Edwards v. First American Corp., the RESPA case that was briefed and argued (but not decided on the merits) in the U.S. Supreme Court, the court's decision in Robins was not surprising. Nonetheless, the case attracted significant attention, including amicus briefs in support of the defendant filed by Experian and the Consumer Data Industry Association.

An interesting side note to the court's decision in Robins is its reliance on the Sixth Circuit's decision in Beaudry v. TeleCheck Services, Inc. Like Robins, that decision reinstated a claim for statutory damages under the FCRA after it previously had been dismissed by the district court. Our law firm represented the defendant in Beaudry at the trial court and on appeal. Although the court's decision in Beaudry discusses the issue of Article III standing, it was neither raised nor briefed by the parties. The defendant's appellate brief instead argued that "actual harm" was required as a matter of statutory interpretation. Prior to the FCRA amendment that allowed claims for statutory damages, the elements of a claim under FCRA § 607(b) required a showing of injury. In Beaudry, we argued that Congress intended statutory damages to provide a remedy when damages were difficult to quantify, not to displace the requirement that a plaintiff prove injury under this particular section of the FCRA. It is unfortunate that the court's dictum in Beaudry, which did not benefit from briefing by the parties, now finds itself as authority upon which other courts may rely.

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