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Hospitals win, lowering off-campus payment rate exceeded CMS’ authority
CMS was unauthorized to ignore the statutory process for setting payment rates.
Drug used to make fentanyl may become a controlled substance
DEA proposes changing the status of norfentanyl to slow an "unprecedented outbreak of thousands of fentanyl-related overdoses."
Claim fails where parties aren’t put on notice of their alleged role in fraudulent scheme
A False Claims Act complaint must present more evidence than a general scheme allegedly carried out by multiple defendants without specifying who participated in what acts.
Retaliation claim under FCA does not require evidence FCA claim was filed
A retaliation claim requires only a showing that an employee took acts in furtherance of an FCA claim, not that they actually filed a claim.
Purchase of real estate from ‘excluded person’ would not trigger sanctions
The purchase of a community health center site from a company owned and managed by a person who was excluded from program participation, would not constitute grounds for the imposition of sanctions.