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The possible consequences of such errors include (1) violating payor policies or requirements, leading to allegations of fraud, (2) Medicaid payment holds and referral to state Medicaid fraud control units (state attorneys general), and (3) liability for overpayments, including liability under the False Claims Act for improper retention of overpayments. [read post]
8 Mar 2017, 8:46 am by John Lewis and Dustin Dow
So much case law has come down in the past several years regarding California’s Private Attorneys General Act (PAGA) – and its ability to withstand class and representative action waivers – that observers might have overestimated PAGA’s arbitration-avoidance powers. [read post]
8 Mar 2017, 4:36 am by Michael Lowe
  Read the letter sent to then Attorney General Loretta Lynch signed by Mike Lee and Al Franken, among others, in the post. [read post]
7 Mar 2017, 8:16 am by Tejinder Singh
West Las Vegas Independent School District, Gorsuch wrote an opinion finding that a school district superintendent’s statements to her own school board were not protected citizen speech, but her statements to the state attorney general were. [read post]
6 Mar 2017, 7:11 am by MBettman
Peterson, Deputy Solicitor, for Amicus Ohio Attorney General, in support of the State of Ohio Timothy E. [read post]
6 Mar 2017, 4:00 am by Administrator
Attorney General of Canada re Health Canada for $90,100.55 + punitive damages of $25,000; T-132-17 Blacklock’s v. [read post]