We served as lead counsel representing a hospital in connection with a self-disclosure and settlement of potential False Claims Act (FCA) violations concerning the medical necessity of in-patient psychiatric services.
Representation of Hospital in Self-Disclosure Regarding Medically Unnecessary Psychiatric Services
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Representation of hospice provider in intervened FCA action pending in Eastern District of Tennessee based on allegations that hospice services provided not medically necessary
Lead counsel representing Northwest Medical Center (Tucson, Arizona) in FCA lawsuit alleging Northwest improperly billed Medicare for outpatient therapy services through failure to document exact number of minutes of therapy provided to patients. Federal district court dismissed case on grounds that the complaint did not satisfy the pleading requirements of Rule 9(b) or plead the underlying falsity of the claims at issue. U.S. ex rel. McFeeters v. Northwest Hospital, LLC, 2015 WL 328212 (M.D. Tenn. Jan. 23, 2015)
Served as regulatory and deal counsel to BioPlus, a leading national specialty pharmacy, and ProHealth Pharmacy Solutions, a significant provider of infusion pharmacy management services in their sale to CarepathRx a platform company formed by Nautic Partners