Articles and Blogs

False Claims Act

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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Minnesota District Court Cites Excessive Fines Clause to Limit FCA Penalties

[10/22/24]

Posted on October 22, 2024 in False Claims Act Defense, Health Law News, Litigation Analysis

Published by: Hall Render

The government lawsuit against defendants Precision Lens and its founder Paul Ehlen, United States ex rel. Fesenmaier v. Cameron-Ehlen Group, Inc. (“Fesenmaier”), has garnered substantial media attention. This is due in part to juicy facts (kickbacks to physicians in such forms as fancy meals and exclusive vacations for which physicians were invoiced at below... READ MORE

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Constitutional Implications for FCA Actions: Federal Court Ruling Challenges the Future of Whistleblower Lawsuits in Health Care

[10/01/24]

Posted on October 1, 2024 in Health Law News, Litigation Analysis

Published by: Hall Render

The Federal District Court for the Middle District of Florida (“the Court”) in United States ex rel. Zafirov v. Florida Medical Associates, LLC et al., recently held that a relator’s role as set forth in the False Claims Act’s (“FCA”) qui tam provision is unconstitutional under Article II’s Appointments Clause and dismissed the case.... READ MORE

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California Central District Court Compels Government Disclosure of Non-Sealed Documents Withheld Pursuant to Law Enforcement Privilege

[08/08/24]

Posted on August 8, 2024 in Health Law News, Litigation Analysis

Published by: Hall Render

A Special Master for the Central District Court of California granted a motion to compel the disclosure of investigative documents that are no longer under seal in the course of an ongoing False Claims Act claim. UnitedHealth Group, Inc., et al. (“United”) filed a motion to compel the United States (“government”) to produce documents... READ MORE

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