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	<title>Qui Tam 101</title>
	<atom:link href="http://false-claims-act.net/feed/" rel="self" type="application/rss+xml" />
	<link>http://false-claims-act.net</link>
	<description>Straightforward Information &#38; Insight on Qui Tam Lawsuits</description>
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		<title>Filing a Qui Tam Case Because Nobody Is Listening</title>
		<link>http://false-claims-act.net/filing-a-qui-tam-case-because-nobody-is-listening/</link>
		<comments>http://false-claims-act.net/filing-a-qui-tam-case-because-nobody-is-listening/#comments</comments>
		<pubDate>Wed, 11 Jan 2012 19:55:10 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=286</guid>
		<description><![CDATA[Oftentimes, qui tam relators first raise their concerns publicly. However, whether it is on the public pulpit or up the chain of command of a dishonest employer, their voices are, too often, tuned out to the detriment of the public fisc. Thankfully, federal and state False Claims Acts provide a viable avenue for exposing fraud. [...]]]></description>
			<content:encoded><![CDATA[<p>Oftentimes, <em>qui tam </em>relators first raise their concerns publicly. However, whether it is on the public pulpit or up the chain of command of a dishonest employer, their voices are, too often, tuned out to the detriment of the public fisc.</p>
<p>Thankfully, federal and state False Claims Acts provide a viable avenue for exposing fraud. By deputizing private citizens, the <em>qui tam </em>provisions of the False Claims Act empower individuals in their fight against corporate fraudsters.</p>
<p>A recent <a href="http://online.wsj.com/article/SB10001424052970204394804577010601077291884.html?mod=googlenews_wsj" onclick="pageTracker._trackPageview('/outgoing/online.wsj.com/article/SB10001424052970204394804577010601077291884.html?mod=googlenews_wsj&amp;referer=');">$70 million False Claims Act settlement</a> involving New York City is a perfect example of why we need the <a href="http://www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/?referer=');">False Claims Act</a>. In this case, Dr. Gabriel Feldman, a board-certified preventive medicine physician, was employed by the New York County Health Services Review Organization (NYCHSRO) as a local medical director, and he was tasked with determining whether Medicaid patients qualified for 24-hour personal care services (PCS) under Medicaid’s PCS program. However, time and time again, the City of New York overruled his PCS determinations, improperly authorizing PCS for thousands of New York Medicaid beneficiaries.</p>
<p>Since 1993, Dr. Feldman voices his concerns, both internally and externally. For example, Dr. Feldman testified publicly before the New York City Council in 1993, stating that the City’s PCS program was causing the government to make unjustified payments representing, “…hundreds of millions of dollars in Medicaid waste.”  He also complained repeatedly to his supervisors at the NYCHSRO. However, each time, his concerns fell on deaf ears.</p>
<p>Finally, in 2009, Dr. Feldman filed a <em>qui tam </em>action against the City, laying out the allegations of fraud and detailing the City’s complete disregard for the applicable Medicaid regulations.</p>
<p>Recently, the City of New York finally listened, when it inked a check for $70 million. For his courageous efforts, Dr. Feldman received a handsome reward of $14.5 million.</p>
<p>For more information about qui tam law and <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">healthcare fraud</a>, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Whistleblowers Assist States in Recovering Stolen Medicaid Dollars</title>
		<link>http://false-claims-act.net/whistleblowers-assist-states-in-recovering-stolen-medicaid-dollars/</link>
		<comments>http://false-claims-act.net/whistleblowers-assist-states-in-recovering-stolen-medicaid-dollars/#comments</comments>
		<pubDate>Fri, 04 Nov 2011 21:22:19 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=281</guid>
		<description><![CDATA[HHS-OIG posted an interactive map providing a state-by-state view of the health care dollars recovered from Medicaid fraudsters. An accompanying chart provided a more in-depth peek behind the $1.84 billion recovered in 2010. Of particular note, less than 2,000 Medicaid Fraud Control Unit (MFCU) employees guarded the nation’s Medicaid coffers, and only four states had [...]]]></description>
			<content:encoded><![CDATA[<p>HHS-OIG posted an <a href="http://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/interactive-map.asp" onclick="pageTracker._trackPageview('/outgoing/oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/interactive-map.asp?referer=');">interactive map</a> providing a state-by-state view of the health care dollars recovered from Medicaid fraudsters. An <a href="http://oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/expenditures_statistics/fy2010-statistical-chart.xlsx" onclick="pageTracker._trackPageview('/outgoing/oig.hhs.gov/fraud/medicaid-fraud-control-units-mfcu/expenditures_statistics/fy2010-statistical-chart.xlsx?referer=');">accompanying chart</a> provided a more in-depth peek behind the $1.84 billion recovered in 2010. Of particular note, less than 2,000 Medicaid Fraud Control Unit (MFCU) employees guarded the nation’s Medicaid coffers, and only four states had more than 100 MFCU employees.</p>
<p>So, how did such a small army of fraud-fighters recover such a notable sum in 2010? First, most of the recoveries are led by the federal government and their component agencies, such as the FBI, HHS-OIG, and the FDA. Further insight is available if you dissect the numbers on a state-by-state basis.</p>
<p>Notably, some states with large Medicaid budgets were substantially less successful in recovering stolen Medicaid dollars. For example, even though Pennsylvania had the fourth largest Medicaid budget, of nearly $20 billion, it only ranked eighteenth in the nation in Medicaid recoveries, securing a measly $29 million in civil recoveries. Tennessee, on the hand, had less than half the Medicaid expenditures, at $8 billion per year, but the state ranked sixth in the nation in recoveries with over $70 billion in civil recoveries.</p>
<p>At first glance, the size of a state’s MFCU staff seems to be the deciding factor. For instance, the three largest MFCU staffs belonged to the three most successful states in recovering Medicaid dollars—New York, Florida and California. However, these three states had the largest pool of funds to guard and, therefore, the greater chance to siphon out fraudulent dollars. Indeed, when you calculate the dollars recovered per MFCU staff member, these three states do not even appear in the top twenty.</p>
<p>States with False Claims Acts recover substantially more stolen Medicaid dollars. Indeed, eight of the top 10 states and twelve of the top 15 states have False Claims Acts. Conversely, six of the bottom 10 states and ten of the bottom 15 states do not have False Claims Acts. Seemingly, State False Claims Acts are a major factor in recovering funds from Medicaid fraudsters.</p>
<p>States with False Claims Acts efficiently and effectively fight <a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/overview/?referer=');">Medicaid fraud </a>because they leverage the resources and inside information of whistleblowers, and are able to participate in federal investigations and prosecutions. While other States are looking for the proverbial “needle in the haystack,” states with False Claims Acts are able to participate in federal prosecutions, and also independently zero in on fraudulent schemes that drain their limited Medicaid dollars. In return, MFCUs are better able to protect Medicaid dollars and whistleblowers are able to receive substantial rewards. This public-private partnership accounts for over half the $1.84 billion recovered by MFCUs in 2010.</p>
<p>For more information about <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> law and <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">healthcare fraud</a>, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>When Medical Device Companies Fail to Honor Product Warranties</title>
		<link>http://false-claims-act.net/when-medical-device-companies-fail-to-honor-product-warranties/</link>
		<comments>http://false-claims-act.net/when-medical-device-companies-fail-to-honor-product-warranties/#comments</comments>
		<pubDate>Tue, 04 Oct 2011 13:23:46 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>
		<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=278</guid>
		<description><![CDATA[Oftentimes, medical device companies will tout the longevity and reliability of their products. To further seal the deal, companies will tag on an extensive warranty, promising generous credits and rebates should their devices need repair or replacement. However, if a company inappropriately skirts its obligations under these warranties, it could run afoul of the federal [...]]]></description>
			<content:encoded><![CDATA[<p>Oftentimes, medical device companies will tout the longevity and reliability of their products. To further seal the deal, companies will tag on an extensive warranty, promising generous credits and rebates should their devices need repair or replacement. However, if a company inappropriately skirts its obligations under these warranties, it could run afoul of the federal False Claims Act when government health care dollars are involved.</p>
<p>This alleged business practice emerged in a recently settled False Claims Act action against Guidant LLC, a subsidiary of Boston Scientific Corporation. In this intervened <em>qui tam </em>suit, which <a href="http://www.justice.gov/opa/pr/2011/September/11-civ-1256.html" onclick="pageTracker._trackPageview('/outgoing/www.justice.gov/opa/pr/2011/September/11-civ-1256.html?referer=');">settled for $9.25 million</a>, the company allegedly inflated the cost of replacement pacemakers and defibrillators to federal health care programs by knowingly failing to grant warranty credits and rebates to hospitals for devices that were explanted while covered under a product warranty.</p>
<p>According to the government, Guidant’s misactions were evidenced in inflated invoices that failed to include appropriate credits and rebates for replacement pacemakers and defibrillators. These invoices were submitted to Department of Veterans Affairs hospitals and Department of Defense facilities. In addition, inflated invoices were allegedly submitted to private hospitals, which caused these facilities to overstate the cost of these devices on <a href="http://www.whistleblowerfirm.com/medicare-fraud/cost-report-fraud/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/medicare-fraud/cost-report-fraud/?referer=');">Medicare cost reports</a>.</p>
<p>At its core, this is just another variation of a century-old False Claims Act theme of overcharging the federal government. However, because these misdeeds are easily obscured behind corporate walls, the <em>qui tam</em> litigation process offers substantial rewards to employees who successfully tear down these walls and expose companies who knowingly turn a blind eye to product warranties.</p>
<p>For more information about <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> law and healthcare fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Nuanced Judicial Hurdles for Off-Label Marketing Medical Device Cases</title>
		<link>http://false-claims-act.net/nuanced-judicial-hurdles-for-off-label-marketing-medical-device-cases/</link>
		<comments>http://false-claims-act.net/nuanced-judicial-hurdles-for-off-label-marketing-medical-device-cases/#comments</comments>
		<pubDate>Mon, 29 Aug 2011 14:09:22 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>
		<category><![CDATA[Off-Label]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=274</guid>
		<description><![CDATA[While the pharmaceutical industry is slowly starting to appreciate the legal and regulatory constraints to illegal off-label promotions, the medical device industry still appears light years away from fully embracing ethical marketing practices. A prime example of the industry’s wayward behavior is evident in several ongoing False Claims Act cases involving the promotion of biliary [...]]]></description>
			<content:encoded><![CDATA[<p>While the pharmaceutical industry is slowly starting to appreciate the legal and regulatory constraints to illegal <a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/?referer=');">off-label promotions</a>, the medical device industry still appears light years away from fully embracing ethical marketing practices. A prime example of the industry’s wayward behavior is evident in several ongoing False Claims Act cases involving the promotion of biliary stents.</p>
<p>A number of device makers have received FDA clearance to market their biliary stents as palliative and short-term fixes to relieve pain caused by bile blockages experienced by a limited number of late-state cancer patients. Because these devices were positioned to the FDA as short-term and not life-sustaining, they were subjected to less rigorous clinical studies.</p>
<p>However, once the devices received the FDA’s seal of approval, several device makers allegedly started promoting the devices as suitable vascular stents, which are implanted for permanent use and undergo far longer-term and variable stresses than biliary stents due to their location in the body.</p>
<p>The industry-wide pervasiveness of these promotions was chronicled in a recent court decision out of the District of Massachusetts. In this case, <a href="http://dl.dropbox.com/u/16862344/Medtronic_09514412715.pdf" onclick="pageTracker._trackPageview('/outgoing/dl.dropbox.com/u/16862344/Medtronic_09514412715.pdf?referer=');"><em>United States ex rel. Nowak v. Medtronic, Inc</em>.</a>, the judge observed that the off-label promotions of bilary stents are so rampant in the industry that the vast majority of bilary stent sales are for off-label uses.</p>
<p>Here, the court distinguished off-label pharmaceutical promotions from off-label medical device promotions. Notably, the court concluded, “Off-label promotion cases involving medical devices are uniquely complicated by the relatively more permissive and undefined nature of <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">Medicare and Medicaid coverage</a> of ‘off-label’ medical devices.” For support, the court reaches for a quote from a recent Texas district court decision: “While Medicare and Medicaid typically do not reimburse off-label prescriptions for drugs, . . . eligibility for reimbursement [of Category B medical devices] depends on whether the procedure performed is ‘medically necessary’ or ‘reasonable and necessary.’” <em>United States ex rel. Bennett v. Medtronic, Inc.</em>, 747 F. Supp. 2d 745, 747 (S.D. Tex. 2010).</p>
<p>For more information about <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> law and healthcare fraud, contact Nolan &amp; Auerbach, P.A.</p>
<p>&nbsp;</p>
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		<title>FDA Encourages Doctors to Report Off-Label Marketing</title>
		<link>http://false-claims-act.net/fda-encourages-doctors-to-report-off-label-marketing/</link>
		<comments>http://false-claims-act.net/fda-encourages-doctors-to-report-off-label-marketing/#comments</comments>
		<pubDate>Fri, 08 Jul 2011 21:18:10 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>
		<category><![CDATA[Off-Label]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=270</guid>
		<description><![CDATA[The FDA recently touted figures from its Bad Ad Campaign, a campaign designed to encourage doctors, patients and sales professionals to report misleading advertising and promotions in the healthcare industry. The 328 reports submitted over the last year are three times as many as the average of 104 reports submitted in previous years. The FDA [...]]]></description>
			<content:encoded><![CDATA[<p>The FDA recently <a href="http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/DrugMarketingAdvertisingandCommunications/ucm258719.htm" onclick="pageTracker._trackPageview('/outgoing/www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/DrugMarketingAdvertisingandCommunications/ucm258719.htm?referer=');">touted figures from its Bad Ad Campaign</a>, a campaign designed to encourage doctors, patients and sales professionals to report misleading advertising and promotions in the healthcare industry. The 328 reports submitted over the last year are three times as many as the average of 104 reports submitted in previous years.</p>
<p>The FDA has pledged ongoing support for the program that will take aim at young professionals entering the healthcare industry and continuing to educate groups at hospitals and trade shows.</p>
<p>Of the reports submitted most were turned in by doctors, <a href="http://www.pharmalot.com/2011/06/the-fda-our-bad-ad-program-is-working/" onclick="pageTracker._trackPageview('/outgoing/www.pharmalot.com/2011/06/the-fda-our-bad-ad-program-is-working/?referer=');">sending a message</a> to the pharma sales force, “Docs are now the eyes and ears of the FDA.”</p>
<p>Unfortunately, in the past, the FDA has been very slow to take action on reports of wayward marketing promotions. Indeed, all too often, providers’ concerns have been simply lost in the morass of government bureaucracy.</p>
<p>The good news is that the False Claims Act provides a viable alternative. This fraud-fighting law not only provides substantial rewards for whistleblowers, but it includes an action-enforcing mechanism that statutorily requires the government to investigate allegations of fraud. In other words, if providers want to ensure that the government will at least consider their concerns, they should file a False Claims Act <em>qui tam </em>action.</p>
<p>If a provider is aware of egregious <a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/?referer=');">off-label</a> promotions, they are strongly encouraged to seek out an experienced law firm that focuses its practice on health care <a href="http://www.whistleblowerfirm.com/about-the-law/what-is-a-false-claim/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/what-is-a-false-claim/?referer=');">False Claims Act</a> actions.</p>
<p>For more information about <em>qui tam</em> law and healthcare fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Leveling the Playing Field for Honest Business Competition</title>
		<link>http://false-claims-act.net/leveling-the-playing-field-for-honest-business-competition/</link>
		<comments>http://false-claims-act.net/leveling-the-playing-field-for-honest-business-competition/#comments</comments>
		<pubDate>Fri, 03 Jun 2011 20:57:27 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>
		<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=267</guid>
		<description><![CDATA[Oftentimes, when people describe the typical whistleblower, they paint a picture of a dissatisfied employee who stands up to his or her wayward employer. While this is certainly true in a lot of False Claims Act cases, there is no requirement that the whistleblower be an employee or a so-called “insider.” Indeed, some of the [...]]]></description>
			<content:encoded><![CDATA[<p>Oftentimes, when people describe the typical whistleblower, they paint a picture of a dissatisfied employee who stands up to his or her wayward employer. While this is certainly true in a lot of False Claims Act cases, there is no requirement that the <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblower</a> be an employee or a so-called “insider.” Indeed, some of the most effective whistleblowers are the direct corporate competitors of the fraudulent businesses.</p>
<p>The most recent example involves a case filed under the California <a href="http://www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/?referer=');">False Claims Act</a>, which maintains that seven private medical labs allegedly overbilled the state Medicaid program for diagnostic testing. The whistleblower, the CEO of a competitor lab company, refused to join in the alleged price-gouging.  His courage was recently rewarded, after Quest Diagnostics <a href="http://online.wsj.com/article/BT-CO-20110509-716477.html" onclick="pageTracker._trackPageview('/outgoing/online.wsj.com/article/BT-CO-20110509-716477.html?referer=');">agreed to pay</a> Medicaid $241 million to settle the lawsuit.</p>
<p>For more information about <em>qui tam</em> law and healthcare fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>U.S. Supreme Court Adds Wrinkle to the Old Public Disclosure Bar</title>
		<link>http://false-claims-act.net/u-s-supreme-court-adds-wrinkle-to-the-old-public-disclosure-bar/</link>
		<comments>http://false-claims-act.net/u-s-supreme-court-adds-wrinkle-to-the-old-public-disclosure-bar/#comments</comments>
		<pubDate>Thu, 26 May 2011 19:35:16 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>
		<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=265</guid>
		<description><![CDATA[Faced with a split among the federal circuits, the U.S. Supreme Court recently decided to broadly read a key term of the False Claims Act&#8217;s public disclosure bar, constructing additional headaches, largely for whistleblowers with cases based on conduct years ago.  Unless a whistleblower can demonstrate that he has independent knowledge of a fraud, the [...]]]></description>
			<content:encoded><![CDATA[<p>Faced with a split among the federal circuits, the U.S. Supreme Court recently decided to broadly read a key term of the False Claims Act&#8217;s public disclosure bar, constructing additional headaches, largely for whistleblowers with cases based on conduct years ago.  Unless a <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblower</a> can demonstrate that he has independent knowledge of a fraud, the public disclosure bar will generally derail a <em>qui tam</em> suit that is &#8220;substantially similar&#8221; to publicly disclosed &#8220;allegations or transactions&#8230;in a congressional, administrative, or Government Accounting Office report, hearing, audit, or investigation.&#8221; 31 U.S.C. § 3730 (e) (4) (A). Recently, in <a href="http://dl.dropbox.com/u/16862344/schindler%20Elevator%20Corp.%20v.%20United%20States%20ex%20rel.%20Kirk%5B1%5D.pdf" onclick="pageTracker._trackPageview('/outgoing/dl.dropbox.com/u/16862344/schindler_20Elevator_20Corp._20v._20United_20States_20ex_20rel._20Kirk_5B1_5D.pdf?referer=');">Schindler Elevator Corp. v. United States ex rel. Kirk, No. 10-188 (May 16, 2011)</a>, the Court held that a written response to a FOIA request qualifies as a governmental “report”, triggering the False Claims Act’s public disclosure bar.</p>
<p>The Court’s reading of “report” is largely disconnected from reality. When the federal government receives a FOIA request, it responds by handing over a copy of the requested document. End of story. A government official does not pen an extensive report, detailing official government policy on the content of the requested document. Indeed, in the vast majority of cases, the “report” consists of a boilerplate cover form, memorializing the disclosure of the copied document. Nearly half of the circuits and three of the Justices recognize this reality.</p>
<p>So what does this mean for would-be-whistleblowers? Not much. First, it is important to note that Congress amended the public disclosure bar in 2010, clarifying that the public disclosure bar only silences whistleblowers who simply parrot publicly disclosed fraud allegations. Second, even under the old public disclosure bar, a whistleblower can move forward with a <em><a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> </em>suit as long as his knowledge of the fraud is not dependent on the publicly disclosed allegations.</p>
<p>For more information about <em>qui tam</em> law and healthcare fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>The Restoration of the False Claims Act’s Public Disclosure Bar</title>
		<link>http://false-claims-act.net/the-restoration-of-the-false-claims-act%e2%80%99s-public-disclosure-bar/</link>
		<comments>http://false-claims-act.net/the-restoration-of-the-false-claims-act%e2%80%99s-public-disclosure-bar/#comments</comments>
		<pubDate>Thu, 05 May 2011 15:12:50 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=262</guid>
		<description><![CDATA[No provision of the federal False Claims Act has been more misunderstood than the Act’s public disclosure bar, 31 U.S.C. § 3729(e)(4). In drafting this language a quarter of century ago, Congress simply intended to bar parasitic relators who merely copy fraud allegations from specific types of public sources. However, through judicial ingenuity, some courts [...]]]></description>
			<content:encoded><![CDATA[<p>No provision of the federal False Claims Act has been more misunderstood than the Act’s public disclosure bar, 31 U.S.C. § 3729(e)(4). In drafting this language a quarter of century ago, Congress simply intended to bar parasitic relators who merely copy fraud allegations from specific types of public sources. However, through judicial ingenuity, some courts have attached various atextual requirements that have veered the bar off its intended goal.</p>
<p>Recently, Congress sought to put the Act back on track, when it amended the public disclosure bar provision. Unfortunately, when Congress righted the proverbial ship, it failed to include a retroactivity provision. The end result is that a generation of <a href="http://www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/?referer=');">False Claims Act</a> cases will have to wrestle with the old public disclosure bar provision and its wayward case law.</p>
<p>Hopefully, courts will look to the revised public disclosure bar as a guiding light for how to apply the old provision. Indeed, this appears to be the trend in recent court decisions. At the very least, courts have gone to greater lengths to preclude only truly parasitic <em><a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> </em>suits, as opposed to those that mirror snippets of publicly disclosed information. For example, this week, in <em><a href="http://db.tt/ctJJ8Cm" onclick="pageTracker._trackPageview('/outgoing/db.tt/ctJJ8Cm?referer=');">U.S. ex rel. Repko v. Guthrie Clinic, P.C., No. 3:04cv1556 (M.D. Pa. April 18, 2011)</a></em>, the court refused to preclude evidence that showed that the relator had not based his action on publicly disclosed allegations. Previously, the court would have compared the <em>qui tam </em>complaint with the publicly disclosed allegations, with little concern over whether the action was actually “based upon” the public disclosure. This is a giant step forward for the <em>qui tam </em>community and the public fisc..</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Audit Evidences Need for Whistleblowers to  Recover Stolen Stimulus Dollars</title>
		<link>http://false-claims-act.net/audit-evidences-need-for-whistleblowers-to-recover-stolen-stimulus-dollars/</link>
		<comments>http://false-claims-act.net/audit-evidences-need-for-whistleblowers-to-recover-stolen-stimulus-dollars/#comments</comments>
		<pubDate>Wed, 13 Apr 2011 15:27:54 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=260</guid>
		<description><![CDATA[In 2009, Congress passed the federal Stimulus Package, infusing nearly a $1 trillion dollars into the American economy. However, as tax dollars poured out of the federal coffers, some raised concerns that existing laws and systems could not stop entities from fraudulently siphoning these funds. Thankfully, Congress subsequently patched some of the holes in relevant [...]]]></description>
			<content:encoded><![CDATA[<p>In 2009, Congress passed the federal Stimulus Package, infusing nearly a $1 trillion dollars into the American economy. However, as tax dollars poured out of the federal coffers, <a href="http://www.law.com/jsp/nlj/PubArticleNLJ.jsp?id=1202430941952&amp;slreturn=1&amp;hbxlogin=1" onclick="pageTracker._trackPageview('/outgoing/www.law.com/jsp/nlj/PubArticleNLJ.jsp?id=1202430941952_amp_slreturn=1_amp_hbxlogin=1&amp;referer=');">some raised concerns</a> that existing laws and systems could not stop entities from fraudulently siphoning these funds. Thankfully, Congress subsequently patched some of the holes in relevant anti-fraud laws, including the federal False Claims Act. Now, however, it is up to America’s courageous <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblowers</a> to step forward and recover the Stimulus funds that were wrongfully drained by fraudsters.</p>
<p>With each passing day, the massive scope of Stimulus Package fraud is becoming more apparent. Similarly, the inadequacy of government controls and, in turn, the need for whistleblowers is also becoming quite clear.</p>
<p>One example of the problem is evidenced in a <a href="http://oig.hhs.gov/oas/reports/region7/71002761.pdf" onclick="pageTracker._trackPageview('/outgoing/oig.hhs.gov/oas/reports/region7/71002761.pdf?referer=');">recent US Department of Health and Human Services audit</a>, where the Inspector General examined one State’s ability to monitor Stimulus funds dispensed under the federal Community Services Block Grant (CSBG) program. Here, the Inspector General examined the mechanisms used by the State of Colorado to monitor the nearly $9 million in Stimulus funds that it dished out to 40 entities that were supposedly creating, coordinating, and delivering programs and services to low-income Americans.</p>
<p>Pursuant to the federal CSBG Act, the State was required to monitor eligible entities by conducting full onsite reviews of each eligible entity at least once during each 3-year period. The State was also required to conduct reviews to determine whether eligible entities met the performance goals, administrative standards, financial requirements, and other requirements of its State.</p>
<p>The Inspector General discovered that the State largely sidestepped its responsibilities to monitor these federal dollars. Specifically, the State did not conduct full onsite reviews at all eligible entities within a 3-year period; ensure that CSBG funds were used to provide services only to eligible clients; conduct initial Stimulus Package onsite reviews at each eligible entity that received funding; or adequately document onsite reviews.</p>
<p>When the Inspector General dove deeper into the expenditures, it discovered rampant fraud and <a href="http://www.whistleblowerfirm.com/about-the-law/what-is-a-false-claim/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/what-is-a-false-claim/?referer=');">false claims</a>. For example, for the quarter ending March 31, 2010, five entities billed for 140.3 full-time employee hours (FTE). However, based on the time records supporting the entities’ quarterly expenditures, the Inspector General determined that the five entities should have reported <em>only 16.4 FTE</em>. Thus, these entities overestimated the number of jobs reported by 123.9 FTE. Due to its inadequate internal controls, the State did not identify these errors.</p>
<p>Unfortunately, this is just the tip of the fraud iceberg when it comes to the federal Stimulus Package. However, the federal government does not have the time, money, or resources to audit every single dollar, as they did in this instance. In short, the federal government needs the help of the private citizenry to expose the fraudulent activity that is hidden beneath the surface. Hopefully, people with inside knowledge will step forward and leverage the federal False Claims Act to recover these federal funds.</p>
<p>For more information about <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');"><em>qui tam</em></a> law and <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">health care fraud</a>, contact <a href="http://www.whistleblowerfirm.com/about/contact-us/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');">Nolan &amp; Auerbach, P.A.</a></p>
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		<title>False Claims Act (Sometimes) Reaches Indirect Reverse False Claims</title>
		<link>http://false-claims-act.net/false-claims-act-sometimes-reaches-indirect-reverse-false-claims/</link>
		<comments>http://false-claims-act.net/false-claims-act-sometimes-reaches-indirect-reverse-false-claims/#comments</comments>
		<pubDate>Wed, 30 Mar 2011 15:03:58 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=257</guid>
		<description><![CDATA[Recently, a federal court of appeals wrestled with the thorny issue of whether a defendant can be liable under the False Claims Act when it causes a third party to submit a false statement to the federal government, which, in turn, permits the defendant to retain government funds. Working through this legal jujitsu of “indirect [...]]]></description>
			<content:encoded><![CDATA[<p>Recently, a federal court of appeals wrestled with the thorny issue of whether a defendant can be liable under the <a href="http://www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/reasons-for-the-false-claims-act/?referer=');">False Claims Act</a> when it <em>causes</em> a third party to submit a false statement to the federal government, which, in turn, permits the defendant to retain government funds. Working through this legal jujitsu of “indirect reverse false claims,” the Court held that the Reverse False Claims Act provision, 31 U.S.C. § 3729(a)(7), applies . . . sometimes.</p>
<p>This issue reared its ugly head in a 12-year-old intervened <em>qui tam </em>action against Caremark, a pharmacy benefits management (PBM) company that administers pharmacy benefits for insurance companies, managed care organizations, and public and private health plans and organizations. <em><a href="http://dl.dropbox.com/u/16862344/United%20States%20ex.%20rel.%20Ramodoss%20v.%20Caremark%20Inc..pdf" onclick="pageTracker._trackPageview('/outgoing/dl.dropbox.com/u/16862344/United_20States_20ex._20rel._20Ramodoss_20v._20Caremark_20Inc..pdf?referer=');">United States ex rel. Ramadoss v. Caremark Inc., No. 09-50727 (5th Cir. February 24, 2011)</a></em>.</p>
<p><a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">Medicaid</a> is supposed to be the payor of last resort. However, Caremark allegedly shifted the costs to Medicaid by refusing to pay for the pharmacy benefits of individuals who were eligible for both Medicaid and a plan administered by a Caremark. Specifically, when these so-called “dual eligibles” identified themselves at a <a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/overview/?referer=');">pharmacy</a> as Medicaid recipients, instead of privately-insured individuals, Caremark would subsequently refuse to reimburse Medicaid, leaving the Medicaid program with the tab.</p>
<p>Significantly, if the state Medicaid agency discovers that a Medicaid recipient is a dual-eligible individual, the federal law <em>requires </em>the agency to seek reimbursement from the private insurer, such as Caremark.</p>
<p>The lower court held that the Reverse FCA did not apply, for Caremark submitted false statements to state Medicaid agencies, not the federal government, and it had no “obligation” to the federal government.</p>
<p>On appeal, federal and State governments argued that Caremark’s actions violated the Reverse FCA, for its false statements <em>caused</em> the state Medicaid agencies to make false statements to the federal government, which, in turn, impaired the <em>agencies</em>’ obligations to the federal government.</p>
<p>Claims under the Reverse FCA provision require proof that the defendant “knowingly makes, uses, or causes to be made or used, a false record or statement to conceal, avoid, or decrease an obligation to pay or transmit money or property to the Government.” 31 U.S.C. § 3729(a)(7).</p>
<p>In endorsing the governments’ reading of the Act, the Court of Appeals highlighted that FCA provides that a person who <em>causes </em>a false statement to be made “to conceal, avoid, or decrease an obligation to pay or transmit money or property to the Government” is liable under the FCA. 31 U.S.C. § 3729(a)(7). Notably, the statute does not require that the statement impair the <em>defendant’s </em>obligation; instead, it merely requires that the statement impair “<em>an </em>obligation to pay or transmit money or property to the Government.” 31 U.S.C. § 3729(a)(7) (emphasis added).</p>
<p>Here, FCA liability hinged on the fact that Caremark’s actions impaired the State Medicaid Agencies’ obligations to recover and return Medicaid funds.</p>
<p>Notably, the court was able to sidestep the trickier question of whether the Reverse FCA applies when the defendant has no direct obligations to the federal government and the innocent party has no obligation to recover the funds for the federal government. This dormant issue continues to percolate below the surface.</p>
<p>For more information about <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');"><em>qui tam</em></a> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Judge Gives Green Light to Johnson &amp; Johnson  Whistleblower Case</title>
		<link>http://false-claims-act.net/judge-gives-green-light-to-johnson-johnson-whistleblower-case/</link>
		<comments>http://false-claims-act.net/judge-gives-green-light-to-johnson-johnson-whistleblower-case/#comments</comments>
		<pubDate>Mon, 21 Mar 2011 15:24:03 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Medicare]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=255</guid>
		<description><![CDATA[A federal judge refused to dismiss an intervened qui tam action, which alleges Johnson &#38; Johnson paid millions of dollars in illegal kickbacks to Omnicare, the nation’s largest nursing home pharmacy, for the purpose of driving up sales of its antipsychotic drug Risperdal. According to the government’s complaint, Johnson &#38; Johnson paid $50 million to [...]]]></description>
			<content:encoded><![CDATA[<p>A federal judge <a href="http://pacer.mad.uscourts.gov/dc/cgi-bin/recentops.pl?filename=stearns/pdf/johnsonandjohnsonmdfinal.pdf" onclick="pageTracker._trackPageview('/outgoing/pacer.mad.uscourts.gov/dc/cgi-bin/recentops.pl?filename=stearns/pdf/johnsonandjohnsonmdfinal.pdf&amp;referer=');">refused to dismiss</a> an intervened <em>qui tam </em>action, which alleges Johnson &amp; Johnson paid millions of dollars in illegal kickbacks to Omnicare, the nation’s largest nursing home pharmacy, for the purpose of driving up sales of its antipsychotic drug Risperdal.</p>
<p>According to the government’s complaint, Johnson &amp; Johnson paid $50 million to Omnicare between 1999 and 2004 to get it to push Risperdal to elderly patients with dementia, and then hid those kickbacks as payments for services that Omnicare never actually provided. Omnicare then enacted intervention programs such as the “Risperdal Initiative” to persuade physicians to prescribe the drug to elderly dementia patients.</p>
<p>In an effort to derail the action, Johnson &amp; Johnson argued that the so-called “illegal kickbacks” were actually legal <a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/medicaid-price-reporting/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/medicaid-price-reporting/?referer=');">rebates</a>, permissible under the controlling <a href="http://www.whistleblowerfirm.com/medicare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/medicare-fraud/overview/?referer=');">Medicare</a> regulations. However, after extensive briefing, Judge Sterns sided with the plaintiffs and denied Johnson &amp; Johnson’s motion to dismiss.</p>
<p>This case was originally filed nearly eight years ago by an Omnicare pharmacist that was troubled by his employer’s business practices of accepting kickbacks from drug makers. Ultimately, he decided to take a stand and filed <em>qui tam </em>actions against Ominicare and several pharmaceutical companies.</p>
<p>In 2009, Omnicare <a href="http://www.pharmalot.com/2009/11/omnicare-ivax-pay-112m-over-kickback-charges/" onclick="pageTracker._trackPageview('/outgoing/www.pharmalot.com/2009/11/omnicare-ivax-pay-112m-over-kickback-charges/?referer=');">settled</a> the FCA allegations for $98 million, quieting claims that the company accepted kickbacks that were hidden as data fees, education fees and as payments to attend Omnicare meetings. However, Johnson &amp; Johnson sought to silence the <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblower</a>’s action through the legal system. Now, with the government <a href="http://www.justice.gov/usao/ma/Press%20Office%20-%20Press%20Release%20Files/Jan2010/JohnsonandJohnsonPR.html" onclick="pageTracker._trackPageview('/outgoing/www.justice.gov/usao/ma/Press_20Office_20-_20Press_20Release_20Files/Jan2010/JohnsonandJohnsonPR.html?referer=');">intervening in the action</a> in 2010 and the court giving a green light to the action last week, Johnson &amp; Johnson might be reconsidering options.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Industry-Wide Allegations of Fraud Do Not Silence Defendant-Specific Qui Tam Actions</title>
		<link>http://false-claims-act.net/industry-wide-allegations-of-fraud-do-not-silence-defendant-specific-qui-tam-actions/</link>
		<comments>http://false-claims-act.net/industry-wide-allegations-of-fraud-do-not-silence-defendant-specific-qui-tam-actions/#comments</comments>
		<pubDate>Mon, 14 Mar 2011 19:05:47 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Health Care]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=252</guid>
		<description><![CDATA[A few weeks ago, the Seventh Circuit published a ground-breaking court decision that was largely off the radar for FCA experts. However, the implications of this court decision, United States ex rel. Baltazar v. Advanced Healthcare Associates, S.C., No. 09-2167 (7th Cir.  Feb. 18, 2011), will have a lasting impact for years to come. This [...]]]></description>
			<content:encoded><![CDATA[<p>A few weeks ago, the Seventh Circuit published a ground-breaking <a href="http://db.tt/GMsWuFG" onclick="pageTracker._trackPageview('/outgoing/db.tt/GMsWuFG?referer=');">court decision</a> that was largely off the radar for FCA experts. However, the implications of this court decision, <em>United States</em><em> ex rel. Baltazar v. Advanced Healthcare Associates, S.C.</em>, No. 09-2167 (7th Cir.  Feb. 18, 2011), will have a lasting impact for years to come. This opinion, penned by respected Chief Judge Easterbrook, removed much of the confusion surrounding the old FCA public disclosure bar and cemented the reach of the recently revised FCA public disclosure bar.</p>
<p>The FCA public disclosure bar, 31 U.S.C. 3730(e)(4), was grafted into the False Claims Act in 1986 to silence parasitic <em><a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> </em>suits. However, because the government needs the assistance of relators to uncover fraudulent behavior, Congress narrowly tailored the bar to only preclude those actions that actually copied fraud allegations from specific types of public disclosures. In short, Congress wanted to ensure that non-parasitic <em>qui tam </em>suits could survive, particularly if they provided additional information that assisted the government’s fraud-fighting efforts.</p>
<p>However, over the course of nearly a quarter of century, courts increasingly misapplied and misinterpreted the FCA public disclosure bar, such that non-parasitic <em>qui tam </em>suits were regularly derailed by the public disclosure bar. In one clear example, involving a <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">healthcare fraud</a> case, the Seventh Circuit seemed to rule in <em><a href="http://scholar.google.com/scholar_case?case=5121289706174939310&amp;q=436+F.3d+726+&amp;hl=en&amp;as_sdt=2,39" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=5121289706174939310_amp_q=436+F.3d+726+_amp_hl=en_amp_as_sdt=2_39&amp;referer=');">United States ex rel. Gear v. Emergency Medical Associates, 436 F.3d 726 (7th Cir. 2006)</a></em>, that the public disclosure bar applied when public allegations raised industry-wide fraud allegations, even when the allegations did not mention the specific defendant identified in a later filed <em>qui tam </em>action.</p>
<p>Congress recently responded, in part, by amending the FCA public disclosure bar, clarifying that the bar is only triggered when the publicly disclosed allegations are “substantially the same”<em> </em>as those allegations detailed in the <em>qui tam </em>action. In turn, Congress stressed that the public disclosure bar does not apply when the public allegations generally allege fraud against an entire industry.</p>
<p>In <em>Baltazar</em>, the Seventh Circuit was faced with making sense of this new language. As an initial matter, while the court stated that the new language did not apply to the case at bar, the Congress intent behind the amendment certainly colored its interpretation of the old public disclosure bar. Through this lens, the court held that a <em>qui tam </em>suit alleging “defendant-specific facts” is not “substantially similar” to publicly disclosed allegations of “industry-wide” fraud. Thus, while not explicitly rejecting its earlier <em>Gear </em>ruling, the Seventh Circuit clearly stated that a “defendant-specific” complaint clears the public disclosure bar.</p>
<p>With the “substantially similar” language now codified into the FCA public disclosure bar, the <em>Baltazar</em> reading of “substantially similar” clarifies that industry-wide public disclosure allegations do not derail allegations that detail fraud of a specific industry player. This is a giant step forward for the public disclosure bar and the <em>qui tam </em>community.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>National False Claims Act Organization Names New Executive Director</title>
		<link>http://false-claims-act.net/national-false-claims-act-organization-names-new-executive-director/</link>
		<comments>http://false-claims-act.net/national-false-claims-act-organization-names-new-executive-director/#comments</comments>
		<pubDate>Fri, 04 Feb 2011 22:29:57 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=248</guid>
		<description><![CDATA[Taxpayers Against Fraud (TAF), the national membership organization devoted to the False Claims Act, has announced that Susan Strawn will replace Nolan &#38; Auerbach partner Jeb White as the next TAF Executive Director. Mr. White has joined the TAF Board of Directors. Strawn comes to TAF after spending fourteen years as a Department of Justice [...]]]></description>
			<content:encoded><![CDATA[<p>Taxpayers Against Fraud (TAF), the national membership organization devoted to the False Claims Act, has <a href="http://www.taf.org/whistle306.htm" onclick="pageTracker._trackPageview('/outgoing/www.taf.org/whistle306.htm?referer=');">announced</a> that Susan Strawn will replace Nolan &amp; Auerbach partner <a href="http://www.whistleblowerfirm.com/about/attorneys/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/attorneys/?referer=');">Jeb White</a> as the next TAF Executive Director. Mr. White has joined the TAF Board of Directors.</p>
<p>Strawn comes to TAF after spending fourteen years as a Department of  Justice Trial Attorney and Special Assistant U.S. Attorney within the  Civil Division, advising client agencies and leading teams in complex  investigations and litigation. She has extensive experience in civil and  criminal litigation in trial and appellate courts, has defended  congressional and federal agency actions, prosecuted complex government  fraud cases (including pharmaceutical cases), and handled civil penalty  and injunctive actions.</p>
<p>“The period ahead is very promising,” said Neil Getnick, Chairman of  the TAF Board of Directors. “Thanks to the excellent work of Jeb White  and the TAF staff, we have a stronger federal False Claims Act and more  state False Claims Acts than ever before.”</p>
<p>During Mr. White’s tenure with TAF, he led the effort to modernize  the federal False Claims Act for the first time in nearly a quarter of a  century; tirelessly advocated for greater incentives and protections  for those blowing the whistle on fraud targeting the Internal Revenue  Service, the Securities and Exchange Commission, and state governments;  and fought to protect anti-fraud and <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblower</a> laws in the courts.</p>
<p>“Susan Strawn will be a tremendous asset for TAF and the <em>qui tam </em>legal community,” said Jeb White. “Our fraud-fighting efforts will be buoyed by a strong leader at the helm of TAF.”</p>
<p>For more information about <em>qui tam</em> law and <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">healthcare fraud</a>, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Government Intervenes In Qui Tam Action Accusing  New York City of Ripping Off Medicaid</title>
		<link>http://false-claims-act.net/government-intervenes-in-qui-tam-action-accusing-new-york-city-of-ripping-off-medicaid/</link>
		<comments>http://false-claims-act.net/government-intervenes-in-qui-tam-action-accusing-new-york-city-of-ripping-off-medicaid/#comments</comments>
		<pubDate>Mon, 24 Jan 2011 16:04:18 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=217</guid>
		<description><![CDATA[Dr. Gabriel Feldman, a board-certified preventive medicine physician, was employed by the New York County Health Services Review Organization as a local medical director. One of his primary responsibilities was to determine whether a Medicaid patient qualified for 24-hour personal care services (PCS) under Medicaid’s PCS program. Pursuant to Medicaid regulations, the local medical director [...]]]></description>
			<content:encoded><![CDATA[<p>Dr. Gabriel Feldman, a board-certified preventive medicine physician, was employed by the New York County Health Services Review Organization as a local medical director. One of his primary responsibilities was to determine whether a Medicaid patient qualified for 24-hour personal care services (PCS) under Medicaid’s PCS program. Pursuant to Medicaid regulations, the local medical director is responsible for the final determination of the patient’s eligibility and amount of care to be provided in the PCS program.</p>
<p>According to a False Claims Act <em><a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a> </em>action filed by Dr. Feldman, the City of New York overruled his PCS determinations on a regulator basis, thus improperly authorizing PCS for thousands of New York Medicaid beneficiaries. Moreover, Dr. Feldman alleged that, in other instances, the City ignored his PCS determinations for additional services, thus withholding much-needed medical services from patients, potentially endangering their health and welfare.</p>
<p>The U.S. Government has intervened in this action, filing its <a href="http://www.crainsnewyork.com/assets/pdf/CN72304111.PDF" onclick="pageTracker._trackPageview('/outgoing/www.crainsnewyork.com/assets/pdf/CN72304111.PDF?referer=');">complaint-in-intervention</a> last week in the Southern District of New York. Specifically, the Government alleges that New York City’s misactions have wrongfully drained the Medicaid program of at least tens of millions of dollars.</p>
<p>In a variety of government health care programs, local medical directors are entrusted with the final say on whether a patient qualifies and at what level of care. Local medical directors, arguably, have the patients’ best interest in mind when making these determinations, and they are not tempted to steal public health care dollars for the benefit of their employers. However, where the local medical director’s determinations are influenced, overruled or ignored by their employers, the patients and government<a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');"> health care </a>programs suffer.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>False Claims Act Defendant  Agrees to Sell Off Fraudfeasing Subsidiary</title>
		<link>http://false-claims-act.net/false-claims-act-defendant-agrees-to-sell-off-fraudfeasing-subsidiary/</link>
		<comments>http://false-claims-act.net/false-claims-act-defendant-agrees-to-sell-off-fraudfeasing-subsidiary/#comments</comments>
		<pubDate>Mon, 13 Dec 2010 21:03:56 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=214</guid>
		<description><![CDATA[For too long, fraudfeasing companies have been permitted to remain in business, even after settling False Claims Act allegations. Recently, the Justice Department vowed to ramp up the “cost of doing” business for fraudsters, by holding individual executives accountable and by ordering the divesture of dishonest subsidiaries. Recently, the Justice Department lived up to its [...]]]></description>
			<content:encoded><![CDATA[<p>For too long, fraudfeasing companies have been permitted to remain in business, even after settling False Claims Act allegations. Recently, the Justice Department vowed to ramp up the “cost of doing” business for fraudsters, by holding individual executives accountable and by ordering the divesture of dishonest subsidiaries.</p>
<p>Recently, the Justice Department lived up to its promise, when it <a href="http://abcnews.go.com/Business/wireStory?id=12275314&amp;page=1" onclick="pageTracker._trackPageview('/outgoing/abcnews.go.com/Business/wireStory?id=12275314_amp_page=1&amp;referer=');">inked a settlement</a> with <a href="http://www.whistleblowerfirm.com/healthcare-fraud/medical-device-adverse-events/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/medical-device-adverse-events/?referer=');">medical device manufacturer</a> Synthes Inc. and its subsidiary Norian Corp. The agreement required these two companies to pay fines totaling $23.2 million and to plead guilty to charges that they illegally experimented with a spinal bone cement on patients. Specifically, the defendants had allegedly trained surgeons to use the cement &#8220;<a href="http://www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/pharmaceutical-fraud/off-label-marketing/?referer=');">off-label</a>&#8221; so the company could gather data to support its expanded use. This illegal activity caught the eye of the government after three patients died on the operating table.</p>
<p>Norian pled guilty to conspiracy to impede federal safety standards, a felony, and 110 related misdemeanors. Synthes avoided a felony conviction by agreeing to sell Norian and by pleading guilty to a misdemeanor of shipping a mislabeled product in interstate commerce. In addition, four former Synthes executives pled guilty or no contest to related misdemeanors.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact Nolan &amp; Auerbach, P.A.</p>
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		<title>Court Highlights Need for Experienced Qui Tam Counsel</title>
		<link>http://false-claims-act.net/court-highlights-need-for-experienced-qui-tam-counsel/</link>
		<comments>http://false-claims-act.net/court-highlights-need-for-experienced-qui-tam-counsel/#comments</comments>
		<pubDate>Wed, 10 Nov 2010 21:37:18 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=210</guid>
		<description><![CDATA[Recently a federal court of appeals highlighted the importance of having experienced qui tam counsel. In U.S. ex rel. Summers v. LHC Group, Inc., No. 09-5883 (6th Cir. Oct. 4, 2010), the Sixth Circuit held that qui tam cases that are not filed under seal must be dismissed. Notably, the court stressed, “Congress has created [...]]]></description>
			<content:encoded><![CDATA[<p>Recently a federal court of appeals highlighted the importance of having experienced <em>qui tam</em> counsel. In <a href="http://tinyurl.com/29cu5e9" onclick="pageTracker._trackPageview('/outgoing/tinyurl.com/29cu5e9?referer=');"><em>U.S. ex rel. Summers v. LHC Group, Inc.</em>, No. 09-5883 (6th Cir. Oct. 4, 2010)</a>, the Sixth Circuit held that <em>qui tam </em>cases that are not filed under seal must be dismissed. Notably, the court stressed, “Congress has created the <a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');"><em>qui tam</em></a> cause of action in False Claims Act cases, and has imposed procedural conditions on that cause of action as it sees fit to balance competing policy goals. We will not second-guess its calculus; without meeting those conditions, a False Claims Act plaintiff has no more right to bring suit in the Government’s name than any other private person.”</p>
<p>This decision establishes a <em>per se </em>rule mandating dismissal of <em>qui tam </em>actions that do not meet all of the FCA procedural requirements. In order to navigate the Act’s many procedural landmines, potential <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblowers</a> should retain experienced <em>qui tam </em>counsel. After several recent amendments, the False Claims Act is now full of additional nuances and roadblocks.</p>
<p>Nolan &amp; Auerbach, P.A. has been at the forefront of these recent developments. Indeed, when Congress recently amended the False Claims Act, it called on Nolan &amp; Auerbach, P.A. Partner Jeb White to <a href="http://judiciary.house.gov/hearings/hear_090401.html" onclick="pageTracker._trackPageview('/outgoing/judiciary.house.gov/hearings/hear_090401.html?referer=');">testify</a> about the importance of these statutory changes.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact <a href="http://www.whistleblowerfirm.com/about/contact-us/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');">Nolan &amp; Auerbach, P.A</a>.</p>
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		<title>Independent Contractors Not Protected by Old FCA Anti-Retaliation Provision</title>
		<link>http://false-claims-act.net/independent-contractors-not-protected-by-old-fca-anti-retaliation-provision/</link>
		<comments>http://false-claims-act.net/independent-contractors-not-protected-by-old-fca-anti-retaliation-provision/#comments</comments>
		<pubDate>Fri, 22 Oct 2010 20:25:03 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=205</guid>
		<description><![CDATA[Recently, the Third Circuit held, in an unpublished opinion, that independent contractors are not protected by the False Claims Act’s anti-retaliation provision. However, the court noted that this loophole was recently closed by the federal Fraud &#38; Enforcement Recovery Act of 2009 (FERA). In this case, a whistleblower ran a bus service for a county [...]]]></description>
			<content:encoded><![CDATA[<p>Recently, the Third Circuit held, in an <a href="http://www.docstoc.com/docs/document-preview.aspx?doc_id=55168253" onclick="pageTracker._trackPageview('/outgoing/www.docstoc.com/docs/document-preview.aspx?doc_id=55168253&amp;referer=');">unpublished opinion</a>, that independent contractors are not protected by the False Claims Act’s anti-<a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-protection/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-protection/?referer=');">retaliation</a> provision. However, the court noted that this loophole was recently closed by the federal <a href="http://www.whistleblowerfirm.com/about-the-law/false-claims-act-text/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/false-claims-act-text/?referer=');">Fraud &amp; Enforcement Recovery Act of 2009</a> (FERA).</p>
<p>In this case, a <a href="http://www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/whistleblower-rewards/?referer=');">whistleblower</a> ran a bus service for a county school district. After raising concerns that the school district was violating the federal False Claims Act, the school district greatly reduced the relator’s hours.</p>
<p>The relator brought an action under the False Claims Act’s anti-retaliation provision, which, at that time, was limited to plaintiffs who have an employee-employer relationship with the defendant. The lower court and appellate court, in dismissing the suit, both agreed that the relator was not an employee of the school district.</p>
<p>The amended False Claims Act provision, <a href="http://www.law.cornell.edu/uscode/31/usc_sec_31_00003730----000-.html" onclick="pageTracker._trackPageview('/outgoing/www.law.cornell.edu/uscode/31/usc_sec_31_00003730----000-.html?referer=');">31 U.S.C. § 3730(h) (2009)</a>, now offers whistleblower protections for “any employee, contractor, or agent.” This legislative improvement is especially important for physicians who may have admitting privileges at a hospital but are not technically employees. Now, these doctors can shine a light on a dishonest hospital, knowing that the FCA provides a level of protection against retaliation.</p>
<p>For more information about <em>qui tam</em> law and health care fraud, contact <a onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=http%3A%2F%2Fwww.whistleblowerfirm.com%2F');pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=http%3A%2F%2Fwww.whistleblowerfirm.com%2F');" href="http://www.whistleblowerfirm.com/about/contact-us/">Nolan &amp; Auerbach, P.A</a>.</p>
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		<title>Amendments Give New Life to 16-Year-Old FCA Allegations</title>
		<link>http://false-claims-act.net/amendments-give-new-life-to-16-year-old-fca-allegations/</link>
		<comments>http://false-claims-act.net/amendments-give-new-life-to-16-year-old-fca-allegations/#comments</comments>
		<pubDate>Fri, 15 Oct 2010 21:49:28 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=203</guid>
		<description><![CDATA[Most courts have concluded that the False Claims Act Amendments of 2009 are not retroactive. However, in U.S. ex rel. Kirk v. Schindler Elevator Corp., 601 F.3d 94 (2d Cir. 2010), the Second Circuit went the other way, holding that the revised Section 3729(a)(2) liability provision, 31 U.S.C. §3729(a)(1)(B), applies to cases that were pending [...]]]></description>
			<content:encoded><![CDATA[<p>Most courts have concluded that the False Claims Act Amendments of 2009 are not retroactive. However, in <a href="http://scholar.google.com/scholar_case?case=11396284313389287867&amp;q=kirk+%26+%22false+claims+act%22+%26+elevator&amp;hl=en&amp;as_sdt=8000002" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=11396284313389287867_amp_q=kirk+_26+_22false+claims+act_22+_26+elevator_amp_hl=en_amp_as_sdt=8000002&amp;referer=');"><em>U.S. ex rel. Kirk v. Schindler Elevator Corp.</em>, 601 F.3d 94 (2d Cir. 2010)</a>,<em> </em>the Second Circuit went the other way, holding that the revised Section 3729(a)(2) liability provision, <a href="http://www.law.cornell.edu/uscode/31/usc_sec_31_00003729----000-.html" onclick="pageTracker._trackPageview('/outgoing/www.law.cornell.edu/uscode/31/usc_sec_31_00003729----000-.html?referer=');">31 U.S.C. §3729(a)(1)(B)</a>, applies to cases that were pending on June 7, 2009.</p>
<p>The <em>Kirk </em>decision set the table for one of the more remarkable court decisions of the year. In <a href="http://scholar.google.com/scholar_case?case=1362591109462061862&amp;q=nsi+%26+%22false+claims+act%22+%26+drake&amp;hl=en&amp;as_sdt=8000002" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=1362591109462061862_amp_q=nsi+_26+_22false+claims+act_22+_26+drake_amp_hl=en_amp_as_sdt=8000002&amp;referer=');"><em>U.S. ex rel. Drake v. NSI</em>, <em>Inc.</em>, No. 3:94-cv-963, 2010 WL 3417854 (D. Conn. Aug. 26, 2010)</a>, the court reinstated FCA Section 3729(a)(2) allegations that were dismissed almost a decade ago. In this case, originally filed in 1994, a <em>qui tam </em>relator brought a number of claims against several defendants. In 2000, the relator’s 3729(a)(2) allegations were dismissed. <em>See U.S. ex rel. Drake v. Norden Systems Inc.</em>, 2000 U.S. Dist. LEXIS 13371 (D. Conn. Aug. 24, 2000).<em> </em>Since then, the case has continued down a seemingly unending road, including a <a href="http://scholar.google.com/scholar_case?case=462039433638914532&amp;q=nsi+%26+%22false+claims+act%22+%26+drake&amp;hl=en&amp;as_sdt=8000002" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=462039433638914532_amp_q=nsi+_26+_22false+claims+act_22+_26+drake_amp_hl=en_amp_as_sdt=8000002&amp;referer=');">couple of side trips</a> to the Second Circuit Court of Appeals.</p>
<p>Most importantly, the case was still in the litigative pipeline on June 7, 2009. In turn, in light of the FCA amendments, the relator sought reconsideration of the Section 3729(a)(2) ruling entered ten years ago. After going through the exercise of determining that the application of the revised FCA would not violate the <a href="http://en.wikipedia.org/wiki/Ex_post_facto_law" onclick="pageTracker._trackPageview('/outgoing/en.wikipedia.org/wiki/Ex_post_facto_law?referer=');">Ex Post Facto Clause of the Constitution</a>, the court ruled that newly minted FCA liability section could apply to the alleged conduct that occurred more than sixteen years ago. Thus, the court granted the relator’s motion to reinstate these claims.</p>
<p>For more information about <em><a href="http://www.whistleblowerfirm.com/about-the-law/qui-tam/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/qui-tam/?referer=');">qui tam</a></em> law and health care fraud, contact <a onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=http%3A%2F%2Fwww.whistleblowerfirm.com%2F');" href="http://www.whistleblowerfirm.com/about/contact-us/">Nolan &amp; Auerbach, P.A</a>.</p>
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		<title>Defendants’ Knowledge of Government Payment Process Satisfies “Intent” Requirement</title>
		<link>http://false-claims-act.net/defendants-knowledge-of-government-payment-process-satisfies-intent-requirement/</link>
		<comments>http://false-claims-act.net/defendants-knowledge-of-government-payment-process-satisfies-intent-requirement/#comments</comments>
		<pubDate>Wed, 13 Oct 2010 20:23:55 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[Legal]]></category>

		<guid isPermaLink="false">http://false-claims-act.net/?p=199</guid>
		<description><![CDATA[The federal government brought a False Claims Act action against an insurance company, alleging that the company participated in a scheme to obtain federally reinsured crop insurance payments for ineligible persons. The lower court, in dismissing the case on the eve of trial, ruled that the government had not sufficiently pled that the defendant “intended” [...]]]></description>
			<content:encoded><![CDATA[<p>The federal government brought a False Claims Act action against an insurance company, alleging that the company participated in a scheme to obtain federally reinsured crop insurance payments for ineligible persons. The lower court, in dismissing the case on the eve of trial, ruled that the government had not sufficiently pled that the defendant “intended” for the “Government itself” to be involved in the payment decision, as required by the U.S. Supreme Court’s <a href="http://www.law.cornell.edu/supct/html/07-214.ZO.html" onclick="pageTracker._trackPageview('/outgoing/www.law.cornell.edu/supct/html/07-214.ZO.html?referer=');"><em>Allison Engine </em>decision</a>. The government appealed the decision, arguing that the defendant was well aware that its scheme would cause claims to be submitted to the Federal Crop Insurance Corporation (FCIC), which in turn would pay the bogus claims with federal funds.</p>
<p>In <a href="http://scholar.google.com/scholar_case?case=6249822610951656673&amp;q=%22false+claims+act%22+%26+hawley&amp;hl=en&amp;as_sdt=800000000002&amp;as_ylo=2010" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=6249822610951656673_amp_q=_22false+claims+act_22+_26+hawley_amp_hl=en_amp_as_sdt=800000000002_amp_as_ylo=2010&amp;referer=');"><em>United States v. Hawley</em>,</a> 2010 WL 3292710 (8th Cir. Aug. 23, 2010), the Eighth Circuit started its analysis by noting that <em>Allison Engine </em>holds FCA defendants liable for “natural and foreseeable consequences” of their actions. Here, because the company and its principal agent were familiar with the FCIC payment process, the court easily determined that the defendant “intended” the “natural and foreseeable consequences” of having “Government itself” involved in the payment decision. In turn, the Eight Circuit reversed the lower court’s decision.</p>
<p>While the <em>Allison Engine </em>decision ultimately did not derail the government’s prosecution of this major crop insurance fraud scheme, the lower court’s decision was one of the driving forces behind the recent <a href="http://www.whistleblowerfirm.com/about-the-law/false-claims-act-text/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/false-claims-act-text/?referer=');">False Claims Act</a> amendments. From Senator Grassley’s home state of Iowa, this decision came out just hours after <em>Allison Engine </em>identified a major loophole in the FCA’s liability provisions. In championing the FCA Amendments, Senator Grassley was rightly concerned that the court’s reasoning would quickly spread, for the “Government itself” is rarely involved in the “payment decision.” Indeed, our government largely relies on contractors to make payment decisions for everything from Medicare payments to hurricane relief efforts.</p>
<p>The resulting amendments now protect all federal funds, regardless of who actually inks the check. However, few courts have retroactively applied these amendments to cases that were filed prior to the enactment of the amendments. In turn, this means that the government and relators will need to wrestle with the <em>Allison Engine </em>“intent” requirement for a few more years.</p>
<p>For more information about <em>qui tam</em> law and <a href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');">health care fraud</a>, contact <a href="http://www.whistleblowerfirm.com/about/contact-us/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');">Nolan &amp; Auerbach, P.A</a>.</p>
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		<title>The Clock Is Set to Three Years for Future FCA Anti-Retaliation Actions</title>
		<link>http://false-claims-act.net/the-clock-is-set-to-three-years-for-future-fca-anti-retaliation-actions/</link>
		<comments>http://false-claims-act.net/the-clock-is-set-to-three-years-for-future-fca-anti-retaliation-actions/#comments</comments>
		<pubDate>Mon, 11 Oct 2010 16:38:05 +0000</pubDate>
		<dc:creator>Nolan and Auerbach</dc:creator>
				<category><![CDATA[False Claims Act]]></category>

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		<description><![CDATA[Nearly six months after being fired, a former employee of a government contractor brought a False Claims Act anti-retaliation suit against the contractor. The company argued that the action should be dismissed because the statute of limitations had run. In Riddle v. Dynacorp International, Inc., 2010 WL 3304245 (N.D. Tex. Aug. 19, 2010), the court [...]]]></description>
			<content:encoded><![CDATA[<p>Nearly six months after being fired, a former employee of a government contractor brought a <a href="http://www.whistleblowerfirm.com/about-the-law/false-claims-act-text/" onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about-the-law/false-claims-act-text/?referer=');">False Claims Act</a> anti-retaliation suit against the contractor. The company argued that the action should be dismissed because the statute of limitations had run. In R<a href="http://scholar.google.com/scholar_case?case=9135439404840889871&amp;q=%22false+claims+act%22+%26+riddle+dynacorp&amp;hl=en&amp;as_sdt=800000000002&amp;as_ylo=2010" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=9135439404840889871_amp_q=_22false+claims+act_22+_26+riddle+dynacorp_amp_hl=en_amp_as_sdt=800000000002_amp_as_ylo=2010&amp;referer=');">iddle v. Dynacorp International, Inc</a>., 2010 WL 3304245 (N.D. Tex. Aug. 19, 2010), the court ruled that these suits are limited to a 90-day statute of limitations period in the State of Texas. Thus, the court ruled that the action was time-barred.</p>
<p>In 2005, the U.S. Supreme Court <a href="http://scholar.google.com/scholar_case?case=10695698582310962630&amp;q=%22false+claims+act%22+%26+%22graham+county%22&amp;hl=en&amp;as_sdt=800000000002" onclick="pageTracker._trackPageview('/outgoing/scholar.google.com/scholar_case?case=10695698582310962630_amp_q=_22false+claims+act_22+_26+_22graham+county_22_amp_hl=en_amp_as_sdt=800000000002&amp;referer=');">determined</a> that the drafters of the False Claims Act failed to include a statute of limitations period for FCA anti-retaliation suits. In turn, the Court ruled that the courts must rummage through the state statutes and borrow the statute of limitations period from the most closely analogous state whistleblower statute. This generated a patchwork of statute of limitations periods, with most hovering around 90 days.</p>
<p>Earlier this year, as part of the <a href="http://en.wikipedia.org/wiki/Dodd%E2%80%93Frank_Wall_Street_Reform_and_Consumer_Protection_Act" onclick="pageTracker._trackPageview('/outgoing/en.wikipedia.org/wiki/Dodd_E2_80_93Frank_Wall_Street_Reform_and_Consumer_Protection_Act?referer=');">Dodd-Frank Wall Street Reform</a> legislation, Congress finally established a uniformed three-year statute of limitations period for all FCA anti-retaliation actions. Unfortunately, courts, such as this one, have ruled that this amendment is not retroactive.</p>
<p>For more information about <em>qui tam</em> law and <a onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=');pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/healthcare-fraud/overview/?referer=http%3A%2F%2Fwww.whistleblowerfirm.com%2F');" href="http://www.whistleblowerfirm.com/healthcare-fraud/overview/">health care fraud</a>, contact <a onclick="pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=');pageTracker._trackPageview('/outgoing/www.whistleblowerfirm.com/about/contact-us/?referer=http%3A%2F%2Fwww.whistleblowerfirm.com%2F');" href="http://www.whistleblowerfirm.com/about/contact-us/">Nolan &amp; Auerbach, P.A</a>.</p>
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