Bass, Berry & Sims represented U.S. Medical Management LLC in securing dismissal with prejudice of a False Claims Act lawsuit alleging that the company billed Medicare for medically unnecessary physician visits. The U.S. District Court for the Eastern District of Wisconsin held that the relator failed to plead fraud with the particularity required under the FCA, relying instead on vague and conclusory allegations and personal disagreement with clinical judgment. The court also dismissed the relator’s retaliation claim, finding no plausible allegation that he engaged in protected activity under the statute. The Bass, Berry & Sims team included Brian Roark, Taylor Chenery, Danielle Sloane, Emily Farmer, and Beth McCaskill. The decision was covered by Bloomberg Law.
False Claims Act Defense for Physician Services Provider
False Claims Act Defense for Physician Services Provider
Bass, Berry & Sims represented U.S. Medical Management LLC in securing dismissal with prejudice of a False Claims Act lawsuit alleging that the company billed Medicare for medically unnecessary physician visits. The U.S. District Court for the Eastern District of Wisconsin held that the relator failed to plead fraud with the particularity required under the FCA, relying instead on vague and conclusory allegations and personal disagreement with clinical judgment. The court also dismissed the relator’s retaliation claim, finding no plausible allegation that he engaged in protected activity under the statute. The Bass, Berry & Sims team included Brian Roark, Taylor Chenery, Danielle Sloane, Emily Farmer, and Beth McCaskill. The decision was covered by Bloomberg Law.