We represented a home health provider in qui tam FCA action pending in the Eastern District of Tennessee involving allegations that home health services that were not medically necessary, resulting in district court dismissal of a number of FCA fraud schemes and successful resolution of remaining issues.
FCA Case Involving Home Health Provider
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Represented a large hospital system and negotiated a favorable settlement with HHS-OIG utilizing the OIG’s Self-Disclosure Protocol. More specifically, our team conducted an internal investigation into possible compliance issues, drafted the disclosure for provision to HHS-OIG, and negotiated the final settlement between the parties resulting in a favorable resolution for the hospital.
Represented a global healthcare company in relation to an investigation conducted by DOJ and HHS-OIG into alleged violations of the False Claims Act. The alleged false claims involved the manner in which certain negative pressure wound therapy devices were being marketed and distributed as durable medical equipment. Conducted an internal investigation and negotiated a favorable settlement with DOJ, HHS-OIG, and counsel for the relator. No post-settlement oversight was required.
Lead counsel representing cardiology practice in FCA retaliation lawsuit alleging that cardiologist was terminated after raising concerns that his recruiting agreement violated the Anti-Kickback Statute and Stark Law. The district court dismissed the lawsuit and the dismissal was affirmed by the Sixth Circuit. Fakorede v. Mid-South Heart Center, P.C., 2017 WL 4217230 (6th Cir. Sep 22, 2017)