Articles and Blogs

False Claims Act

Sixth Circuit Rejects FCA Claims Involving ‘Incident to’ Services and Implied Certification Theories

[09/16/25]

Posted on September 16, 2025 in Health Law News, Litigation Analysis

Published by: Hall Render

In United States ex rel. O’Laughlin v. Radiation Therapy Services, P.S.C., the Sixth Circuit (also referred to as the “Court”) recently affirmed dismissal of a relator’s False Claims Act (“FCA”) action, concluding that he failed to plead or prove with particularity that radiation service providers submitted false claims for radiation or chemotherapy services, relying... READ MORE

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The U.S. District Court for the Northern District of Illinois Holds that “But-For” Causation Is Required to Establish FCA/AKS Liability

[06/20/25]

Posted on June 20, 2025 in False Claims Act Defense, Litigation Analysis

Published by: Hall Render

In U.S. ex rel. Wilkerson v. Allergan, the U.S. District Court for the Northern District of Illinois (the “Court”) recently ruled that “but-for” causation is required for liability under the False Claims Act (“FCA”) resulting from alleged Anti-Kickback Statute (“AKS”) violations. This opinion aligns with the First, Sixth and Eighth Circuits, which deviated from the... READ MORE

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As Executive Branch Scrutiny of DEI Programs Intensifies, Companies Must Assess All Aspects of Their Policies and Business Practices to Ensure Compliance with Civil Rights Laws

[06/05/25]

Posted on June 5, 2025 in Health Law News, HR Insights for Health Care, Litigation Analysis

Published by: Hall Render

Health care and other federal funding recipients face new risks on multiple fronts in their use of diversity, equity and inclusion (“DEI”) programs. The Executive Branch has undertaken a concerted effort to reshape the interpretation and enforcement of federal civil rights laws impacting DEI practices through the issuance of Executive Orders, as discussed here, and... READ MORE

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Federal Courts Consider President Trump’s Anti-DEI Executive Orders

[04/29/25]

Posted on April 29, 2025 in Health Law News

Published by: Hall Render

Within weeks of taking office in his second term, President Trump issued a series of executive orders aimed at diversity, equity and inclusion (“DEI”) initiatives. The orders sought to eliminate “illegal preferences, mandates, policies, programs, activities, guidance, regulations, enforcement actions, consent orders and requirements.” The executive orders repeatedly use the phrase “illegal DEI” but... READ MORE

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D.C. Court of Appeals Joins Prohibition on Pro Se Pursuit of FCA Claims

[04/07/25]

Posted on April 7, 2025 in False Claims Act Defense

Published by: Hall Render

In United States ex rel. Feliciano v. Ardoin, a pro se relator filed a qui tam action under the False Claims Act (“FCA”). On February 4, 2025, the D.C. Court of Appeals (the “Court”) affirmed a district court’s dismissal ruling that a pro se litigant cannot allege violations of the FCA. In doing so,... READ MORE

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D.C. Court of Appeals Shuts Down Recycled Fraud Claims Under Public Disclosure Bar

[03/24/25]

Posted on March 24, 2025 in False Claims Act Defense, Litigation Analysis

Published by: Hall Render

In United States ex rel. O’Connor v. USCC Wireless Investment, Inc., relators filed a qui tam action under the False Claims Act (“FCA”). On February 11, 2025, the D.C. Court of Appeals (the “Court”) affirmed a district court’s ruling that (1) a previous lawsuit had raised substantially the same allegations, triggering the FCA’s public... READ MORE

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Understanding the Fourth Circuit’s Ruling on the First-to-File Rule in FCA Cases

[03/12/25]

Posted on March 12, 2025 in False Claims Act Defense, Health Law News

Published by: Hall Render

On February 14, 2025, the United States Court of Appeals for the Fourth Circuit (the “Court” or “Fourth Circuit”) issued a significant ruling in United States ex rel. Rosales v. Amedisys North Carolina, clarifying how the first-to-file rule applies to qui tam actions under the False Claims Act (“FCA”). The Court determined that the... READ MORE

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Executive Order Creates Potential False Claims Act Liability for Employment Discrimination

[01/31/25]

Posted on January 31, 2025 in False Claims Act Defense, Health Law News, HR Insights for Health Care

Published by: Hall Render

In the opening days of his second term, President Donald Trump signed a number of executive orders covering a wide swath of public and private activity. One such executive order (the “Order”), entitled “Ending Illegal Discrimination and Restoring Merit-Based Opportunity,” addresses diversity, equity and inclusion (“DEI”) programs in the federal government, as well as... READ MORE

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Medicare 14-Day Rule Enforcement Action

[01/29/25]

Posted on January 29, 2025 in Health Law News

Published by: Hall Render

The United States Department of Justice (“DOJ”) recently settled part of a qui tam lawsuit under the False Claims Act for alleged violations of the Medicare “14-Day Rule” for $388,667. From March 2012 to November 2023, a laboratory and health system allegedly delayed submitting physician orders for certain laboratory testing until 14 days after patients’ hospital... READ MORE

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DOJ Recouped $2.9 Billion Under FCA in 2024

[01/17/25]

Posted on January 17, 2025 in Health Law News

Published by: Hall Render

On January 15, 2025, the Department of Justice (“DOJ”) announced that it recovered over $2.9 billion in False Claims Act (“FCA”) related settlements and judgments in the fiscal year ending September 30, 2024 (“FY2024”). The 2024 recovery amount exceeds the previous year’s recovery of $2.68 billion, with the number of settlements and judgments coming in at 558. Whistleblowers... READ MORE

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