When a Provider Should Anticipate Large False Claim Act Penalties for Disregarding Compliance and Licensure Matters

In December 2021, the United States Court of Appeals for the Eleventh Circuit affirmed a civil penalty of nearly $1.2 million imposed on a hematology and oncology practice for violations of the Federal False Claims Act (“FCA”),[1] noting that the FCA violations were appropriate because the Florida-based medical practice submitted false information on claims to Medicare programs.

District Court Vacates Portions of the Surprise Medical Billing Rule

On February 24, District Judge Jeremy D. Kernodle of the U.S. District Court of the Eastern District of Texas granted summary judgement in favor of Texas Medical Association.