Articles and Blogs

9(b)

N.D. Ill.: Upcoding Allegations Against Hospitalist Group Survive Motion to Dismiss

[02/24/15]

Posted on February 24, 2015 in False Claims Act Defense

Written by: David B. Honig and Andrew B. Howk

A recent case out of the Northern District of Illinois Federal Court, US ex rel. Oughatiyan v. IPC the Hospitalist Company, Inc., demonstrates the high risk inherent in evaluation and management (E&M) coding for health care providers. READ MORE

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Seventh Circuit: “Information and Belief” Insufficient under 9(b)

[12/04/14]

Posted on December 4, 2014 in False Claims Act Defense

Written by: Drew B. Howk

In U.S. ex rel. Grenadyor v. Ukranian Village Pharmacy, Inc. et al., the Seventh Circuit affirmed a trial court’s dismissal  of a whistleblower’s complaint for its failure to provide sufficient specificity regarding the alleged fraud. In the opinion, Judge Posner drives a stake through the heart of a common boilerplate phrase  with clarity and precision that makes a... READ MORE

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New 11th Circuit Case: Fraud with Particularity

[11/03/14]

Posted on November 3, 2014 in False Claims Act Defense

Written by: David B. Honig

Last week, the 11th Circuit Court of Appeals issued its unpublished ruling in US ex rel. Mastej v. Health Management Associates, Inc. At issue was whether the relator’s Third Amended Complaint adequately pled fraud with particularity, as required by Fed.R.Civ.Pro. 9(b). Mastej was an Health Management Associate (“HMA”) executive from 2001 to February 2007. In that... READ MORE

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