Topic Archives: False Claims Act

False Claims Act
May 1, 2017False Claims Act

Gov’t Nonintervention In Agape And Future FCA Cases

If, as the saying goes, power corrupts and absolute power corrupts absolutely, what then to make of the government’s absolute veto power over False Claims Act settlements? In United States ex rel. Michaels v. Agape Senior Community Inc., the Fourth Circuit recently confirmed that even when the government declines to intervene in a False Claims ...›

False Claims Act
March 22, 2017False Claims Act

The Latest on Statistical Sampling In FCA Cases

After waiting over a year to hear what the Fourth Circuit would say about statistical sampling in False Claims Act cases, the court of appeals recently chose to keep us in suspense. Despite initially granting the relators’ petition to appeal the district court’s ruling that statistical sampling was not an appropriate means of demonstrating liability, ...›

False Claims Act
February 23, 2017False Claims Act

DC Circuit Enforces Escobar’s Materiality Requirement

This week, the D.C. Circuit added to the post-Escobar, materiality jurisprudence with its opinion in United States ex rel. McBride v. Halliburton Co., No. 15-7144 (Feb. 17, 2017).  In its decision, the court affirmed the trial court’s granting of summary judgment in favor of KBR because the misrepresentation alleged by relator Julie McBride did not ...›

FCA
February 23, 2017False Claims Act

What’s Ahead for the False Claims Act in 2017?

2016 was a record-setting year for False Claims Act recoveries.  Based on this trend and recent developments such as the Escobar decision, we can expect that the new administration will be spending a lot of money on federal programs and with this increased spending there will be parallel enforcement actions around fraud, waste and abuse. ...›

FCA
February 2, 2017False Claims Act

10 Key FCA Developments Of 2016

2016 was another active year in the land of False Claims Act enforcement. The U.S. Department of Justice continued to set recovery records and turned its eye more keenly on enforcement of individuals. We heard from the Supreme Court not once, but twice, on FCA issues. Per-claim penalties increased as of Aug. 1, opening the ...›

FCA
January 26, 2017Compliance, False Claims Act

FINAL FAR RULE: Prohibition on Reimbursement for Congressional Investigations and Inquiries

On January 13, 2017, the Department of Defense (“DoD”), General Services Administration (“GSA”), and National Aeronautics and Space Administration (“NASA”) issued a final rule, effective that day, that disallows costs incurred by a contractor in connection with a Congressional investigation or inquiry into an issue that is the subject matter of a proceeding resulting in ...›

FCA
November 29, 2016False Claims Act, Health Care

Tenet Case Signals Shift In Health Care Fraud Enforcement

Historically, the federal government has fought corporate healthcare fraud in two ways. First, the Department of Justice (“DOJ”) routinely intervenes in civil False Claims Act (“FCA”) cases filed by qui tam relators.  Second, the federal government typically has relied on individual U.S. Attorney’s Offices to initiate and prosecute criminal healthcare fraud cases.  Although DOJ relied ...›

FCA
November 28, 2016False Claims Act

Justices Should Stand Up for FCA Rules

The underlying facts of a False Claims Act case argued before the U.S. Supreme Court last week are the stuff of a good Hollywood blockbuster.  At the center of State Farm Fire and Casualty Co. v. U.S. ex rel. Rigsby are two sisters, Cori and Kerri Rigsby, who worked as claims adjusters for a company ...›

FCA
September 21, 2016False Claims Act

Courts Are Taking Materiality Seriously Post-Escobar

In the three months since the U.S. Supreme Court issued its decision in Universal Health Services v. United States ex rel. Escobar, lower court decisions suggest a trend of strict interpretation of the high court’s materiality requirement for False Claims Act allegations. Pleadings generally must allege facts demonstrating materiality to avoid dismissal. As a result, ...›