Provider False Claims Highlight

Provider false claims highlight: In a decision affecting Medicaid and potentially Medicare healthcare providers, the U.S. District Court for the Southern District of New York held that federal False Claims Act liability applies to providers that do not repay “identified overpayments” within 60 days of “when a provider is put on notice of a potential overpayment, rather than the moment when an overpayment is conclusively ascertained.” The case is: U.S. ex rel. Kane v. Continuum Health Partners, et al.