NAFUSA member Jack Selden and his firm Bradley Arant Boult Cummings LLP won a significant victory this week both for their client AseraCare and for the False Claims Act (“FCA”) defense bar generally. A federal judge struck down a $200 million FCA case against the hospice provider, holding that the government’s second guessing of physicians’ medical judgment alone cannot prove false claims.
In United States ex rel. Paradies v. AseraCare, Inc., No. 2:12-cv-245, Doc. 497 (N.D. Ala. March 31, 2016), Judge Karon Bowdre granted summary judgment for the defendant after an eight week trial, much of which consisted of conflicting expert testimony about the hospice eligibility of 123 patients. After considering the evidence presented, Judge Bowdre found that the government had failed to prove its case, as “[a] mere difference of opinion between physicians, without more, is not enough to show falsity.” Id. at 2. AseraCare Memorandum Opinion and AseraCare FINAL ORDER.
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