11th Circuit Dismisses Florida Medicare Fraud FCA Suit for Lack of Specific Allegations

Jul 18, 2016 By: George F. Indest, III

On July 5, 2016, the U.S. Eleventh Circuit Court of Appeals affirmed the dismissal of a former employee’s False Claims Act lawsuit which alleged Medicare fraud by a Florida health care provider.

Pharmacy Benefit Manager Allegedly Misleads Investors About Healthy Client Relationship

Jul 11, 2016 By: George F. Indest, III

On May 4, 2016, Melbourne Municipal Firefighters’ Pension Trust Fund sued Express Scripts alleging that the company made false statements about its strong relationship with its biggest client, Anthem.

Florida Appellate Court Rules Medical Malpractice Caps Unconstitutional: Florida Supreme Court to Weigh In

Jan 22, 2016 By: George F. Indest, III

The Florida Appellate Court ruled medical malpractice caps unconstitutional. The Florida Supreme Court is set to take a look at the matter next.

Spring 2016 Will Bring New (Tougher) Rules to Combat Health Care Fraud

Jan 6, 2016 By: George F. Indest, III

Health care fraud is in for a bit of a face-lift come spring 2016.

Physician Sues AAA in Federal Court: Claims it Falsely Advertises Network of ‘Neutral’ Arbitrators

Nov 20, 2015 By: George F. Indest, III

A doctor in California, who is arbitrating claims against Blue Cross, accused the American Arbitration Association (AAA) of falsely advertising “neutral” judges to resolve disputes between parties.

“Buying Business” Leads to 42-Count Indictment for Home Health Agency

Sep 24, 2015 By: George F. Indest, III

A recent case discussing both the federal Stark Act and the Anti-Kickback Statute (AKS) was affirmed on appeal.

Data Breaches and Medical Identity Theft

Jun 1, 2015 By: Bruce Provda

Anthem Healthcare of California is in the middle of a lawsuit over hacked computer systems that exposed millions of individual’s data to cyber thieves.

The ACA and Legal Practices (#21) / 2015 Income Tax Filing and the Affordable Care Act

Jan 21, 2015 By: Ferd H. Mitchell

Almost everyone who purchased health insurance in 2014 or chose not to will need help with preparing income tax returns due in April, 2015.

Changes in Washington Practice (#25) / Insurer bad faith damages

Jan 14, 2015 By: Ferd H. Mitchell

“Insurer bad faith” is addressed in Chapter 23 of Washington Insurance Law and Litigation by Matthew King, volume 35 of Washington Practice.

Florida Administrative Law: When Preparing a Request for a Declaratory Statement, Comply with all Statutory and Administrative Code Requirements

Jan 13, 2015 By: George F. Indest, III

In Florida, as in most states, if you want a state administrative agency to answer a question, you may file a request for a declaratory statement from that agency.

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