Look for more large cases in­volv­ing False Claims Act

Modern Healthcare - - COMMENT -

Re­gard­ing sev­eral re­cent ar­ti­cles in­volv­ing the fed­eral probe of car­diac pro­ce­dures (“More than 450 hos­pi­tals pay over $250 mil­lion in car­diac-de­vice in­ves­ti­ga­tion,” Mod­ern­Health­care.com, Oct. 30), like it or hate it, the num­ber of False Claims Act pros­e­cu­tions is in­creas­ing. More im­por­tantly, the so­phis­ti­ca­tion of those claims is also in­creas­ing.

As noted in one of the sto­ries, this is the “first time the gov­ern­ment has un­der­taken such a large in­ves­ti­ga­tion based on a le­gal the­ory that holds hos­pi­tals ac­count­able for the med­i­cal de­ci­sion­mak­ing of their staff.”

As an at­tor­ney at a law firm that han- dles many Medi­care fraud cases, I can say that there other sim­i­lar cases in the pipe­line. Hos­pi­tals are fore­warned.

Brian Ma­hany Prin­ci­pal Ma­hany Law

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