We served as lead counsel representing a hospital in connection with a Department of Justice (DOJ) investigation and negotiated a successful resolution of False Claims Act allegations with DOJ involving emergency department services and supervision of residents.
Representation of Hospital: U.S. ex rel. Clemmons v. Vaughan Regional Medical Center (S.D. Ala.)
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We represented a global for-profit health insurance company with more than 20 million members in False Claims Act (FCA) litigation in federal court in the Northern District of Illinois.
Representation of ED company and other defendants in qui tam lawsuit alleging that ED provider’s violation of licensure laws caused submission of false claims and that defendants fraudulently billed services as performed by physicians even though patients were seen only by nurse practitioners. We obtained dismissal of the licensure claims and received summary judgment as to the upcoding claims. U.S. ex rel. Taylor v. Boyko, 2020 WL 520933 (S.D. W. Va. Jan. 31, 2020); U.S. ex rel. Taylor v. Perni, 2020 WL 2499544 (S.D. W. Va. May 14, 2020).
Representation of Skilled Nursing Facility Company: U.S. ex rel. Wright v. Saber Healthcare Holdings (E.D. Va.)