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  2. Universal Health Services, Inc. v. United States ex rel. Escobar

    en.wikipedia.org/wiki/Universal_Health_Services...

    Universal Health Services, Inc. v. United States ex rel. Escobar, 579 U.S. ___ (2016), was a United States Supreme Court case in which the Court held that "the implied false certification theory can be a basis for False Claims Act liability when a defendant submitting a claim makes specific representations about the goods or services provided, but fails to disclose noncompliance with material ...

  3. Health care fraud - Wikipedia

    en.wikipedia.org/wiki/Health_care_fraud

    [15] The jury found him guilty of 23 counts of health care fraud and 30 counts of false statements related to health care matters. [16] He faced 475 years. That would give him 10 years for 13 health care fraud counts and 20 years for 10 others because those 10 others resulted in serious bodily injury, and 5 years for false statements related to ...

  4. False Claims Act of 1863 - Wikipedia

    en.wikipedia.org/wiki/False_Claims_Act_of_1863

    In a 2016 case, Universal Health Services, Inc. v. United States ex rel. Escobar, [43] the United States Supreme Court sought to clarify the standard for materiality under the FCA. The court unanimously upheld the implied certification theory of FCA liability and strengthened the FCA's materiality requirement.

  5. Former UK doctor used someone else’s baby photos in leave ...

    www.aol.com/former-uk-doctor-used-someone...

    A former University of Kentucky doctor accused of submitting fake recommendation letters and using photos of someone else’s babies in a leave request has agreed to surrender his medical license.

  6. NextGen Healthcare to pay $31 million to settle false claims ...

    www.aol.com/news/nextgen-healthcare-pay-31...

    (Reuters) - Electronic health records vendor NextGen Healthcare Inc has agreed to pay $31 million to resolve allegations that the company violated the False Claims Act, the U.S. Justice Department ...

  7. Kentucky suspends license of doctor after ‘repeated ... - AOL

    www.aol.com/news/kentucky-suspends-license...

    UK had already terminated Salazar from his residency in July over issues with his professionalism that involved “multiple and repeated falsification of information,” the board said in its order.

  8. 2014 Veterans Health Administration controversy - Wikipedia

    en.wikipedia.org/wiki/2014_Veterans_Health...

    The Veterans Health Administration, a division of the U.S. Department of Veterans Affairs, is responsible for providing health care to U.S. military veterans, and is one of the largest healthcare operations in the United States, with dozens of hospitals and medical facilities across the nation. It has had a long and troubled history.

  9. List of largest pharmaceutical settlements - Wikipedia

    en.wikipedia.org/wiki/List_of_largest...

    The settlement amount includes both the civil (False Claims Act) settlement and criminal fine. Glaxo's $3 billion settlement included the largest civil False Claims Act settlement on record, [ 1 ] and Pfizer’s $2.3 billion ($3.5 billion in 2022) settlement including a record-breaking $1.3 billion criminal fine. [ 2 ]