August 24, 2016
In a first-of-its-kind settlement, New York City-based Mount Sinai Health System will cough up $3 million to resolve allegations it violated the False Claims Act by retaining Medicaid overpayments for more than 60 days after identifying them, authorities said Wednesday.
September 15, 2015
Settlement talks are underway in the first False Claims Act litigation involving a requirement for health care providers to return government overpayments within 60 days, the U.S. Department of Justice told a New York federal judge on Tuesday.
August 04, 2015
The first court decision on a False Claims Act requirement to return identified overpayments from Medicare and Medicaid within 60 days laid waste to attempts by hospitals to dramatically weaken the policy, stressed the need to take overpayment allegations seriously and raised new questions about compliance obligations. Here are five takeaways from attorneys on Monday's ruling.
August 03, 2015
In a major win for the U.S. Department of Justice, a New York federal judge on Monday preserved a whistleblower's False Claims Act suit accusing several hospitals of defrauding Medicaid by failing to return identified overpayments within 60 days.
July 02, 2015
The second half of 2015 is shaping up as a potential litigation blockbuster for health care providers, as major developments loom in cases involving the False Claims Act, the future of crucial Affordable Care Act funding and the 340B drug-discount program. Here are six cases that attorneys will be watching closely.
January 02, 2015
An eye-popping assortment of highly consequential lawsuits affecting health care companies will play out in 2015, shaping the future of Affordable Care Act coverage, False Claims Act litigation, Medicare reimbursement and provider consolidation.
November 13, 2014
The federal government and the state of New York have asked a federal judge to keep a False Claims Act suit against the Mount Sinai Health System alive, saying a provision of the Affordable Care Act forces hospitals to repay bogus Medicaid charges within 60 days.
September 23, 2014
New York's Mount Sinai Health System on Monday attacked a high-profile False Claims Act suit alleging failure to return Medicaid overpayments within 60 days of identifying them, saying the U.S. Department of Justice and a whistleblower failed to show violations of the Affordable Care Act time limit.
June 27, 2014
The U.S. Department of Justice on Friday joined a whistleblower's False Claims Act suit accusing New York's Mount Sinai Health System of failing to return hundreds of Medicaid overpayments within 60 days of identifying them, one of the first examples of litigation involving an important Affordable Care Act provision.