Articles and Blogs

On January 1, 2025, the Centers for Medicare and Medicaid Services’ (“CMS”) new 60-Day Rule became effective. The 60-Day Rule states several changes, with some changes significantly impacting False Claims Act (“FCA”) liability. Background CMS’s 60-Day Rule is a regulation under the Affordable Care Act (“ACA”) that requires health care providers and suppliers to... READ MORE

Beginning on August 1, 2024, the Department of Justice (“DOJ”) launched a three-year Corporate Whistleblower Awards Pilot Program (the “Program”). This initiative expands the opportunity for health care whistleblowers, adding private health insurance claims to their quiver. It does so by allowing whistleblowers to report corporate misconduct to the DOJ’s Criminal Division through their... READ MORE