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Articles Posted in Medicare

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Qui Tam Relators Stand to Receive Significant Whistleblower Rewards as Electronic Health Records Firm Settles False Claims Act Lawsuit for $18.25M

Athenahealth allegedly violated the Anti-Kickback Statute (AKS) and False Claims Act by paying kickbacks for clients referrals Healthcare technology firm Athenahealth has agreed to pay $18.25 million to settle allegations it violated the False Claims Act by paying illegal kickbacks for client referrals as part of initiatives to promote its…

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Third Circuit Rejects Eleventh Circuit’s “Objective Falsehood” Requirement under the False Claims Act, Rules that Clinical Medical Judgments Can be Considered “False”

Court says that disputed medical judgments present a triable issue for a jury, creating a Circuit split and paving the way for similar whistleblower claims. The Third Circuit Court of Appeals has ruled that a physician’s judgments and opinions can be considered “false” under the False Claims Act, rejecting the…