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How did a clerkship with Judge Merritt change the way Chris Climo approaches the practice of law? Find out more>

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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.

Seventh Circuit Resolves Circuit Split on Causation in FCA Cases

Inside the FCA Blog

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November 20, 2017

In a recent opinion, the Seventh Circuit joined its sister circuits in holding that under the FCA, a defendant's conduct must proximately cause injury to the government in order to incur liability for that injury. United States v. Luce, No. 16-4093, 2017 WL 4768864 (7th Cir. Oct. 23, 2017). This decision resolves a circuit split that arose in 1992 when the Seventh Circuit parted company with the Third Circuit—the only other circuit at that time to have addressed the issue. At that time, the Seventh Circuit held that the FCA required only a "but-for" standard of causation, meaning that a defendant could be held liable under the FCA even if the Government’s loss was not caused directly by the defendant's conduct so long as the government would not have suffered the loss if not for the defendant's conduct. In addition to the Third Circuit, the other circuits that have since addressed this issue—the Fifth, D.C., and Tenth Circuits—have held that the higher standard of "proximate causation" applies to FCA cases.

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Bass, Berry & Sims' Inside the FCA blog features news, commentary and thought leadership covering FCA, healthcare fraud and procurement fraud.


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