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Eighth Circuit Imposes Stricter Causation Standard for FCA Cases Premised on Anti-Kickback Violations

By Robert B. Hille & GRSD Healthcare Team on November 15, 2022
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A recent holding by the Eighth Circuit Court of Appeals in United States ex rel. Cairns v. D.S. Med., LLC took a stance on the causation standard for False Claims Act (FCA) cases premised on violations of the Anti-Kickback Statute (AKS) and may provide defendants in those cases with the ability to raise a valid new defense. In this Client Alert, Greenbaum attorneys Christopher D. Adams, Rachel A. Frost and Robert B. Hille analyze the reasoning behind – and significance of – the Court’s decision. They further note that in conflicting with a previous Third Circuit holding, it is not far-fetched to imagine that such a circuit split could eventually bring this issue before the U.S. Supreme Court.

Photo of Robert B. Hille Robert B. Hille

Partner, Healthcare and Litigation

Bob is a civil and criminal trial attorney who represents clients in litigation in state and federal courts, and before federal and state administrative boards and agencies. His areas of concentration include professional liability defense, professional ethics, disputes involving…

Partner, Healthcare and Litigation

Bob is a civil and criminal trial attorney who represents clients in litigation in state and federal courts, and before federal and state administrative boards and agencies. His areas of concentration include professional liability defense, professional ethics, disputes involving healthcare providers, insurance coverage matters, white-collar criminal defense, regulatory issues, and legal issues associated with the use of technology and AI, including those related to professional ethics.

Bob has considerable expertise related to professional ethics for legal and healthcare industry professionals. He represents attorneys facing allegations of ethical violations in disciplinary actions before the District Ethics Committee (DEC), in Office of Attorney Ethics (OAE) investigations and prosecutions, and in proceedings before the Disciplinary Review Board (DRB) and the New Jersey Supreme Court, in matters ranging from suspension to dismissal to disbarment.

In the healthcare sector, Bob represents physicians and other licensed healthcare professionals in professional board inquiries and investigations, including those involving alleged violations of medical ethics and alleged breaches of standards of care. His white-collar experience includes involvement in both state and federal investigations, including those related to healthcare fraud and abuse and the taking of fraudulent payments from government entities.

In the area of insurance coverage, Bob has litigated numerous lawsuits. He represents business policyholders in complex insurance coverage litigation with the goal of maximizing the value of insurance assets by aggressively disputing unwarranted denials of coverage. He provides coverage analysis and opinions, interpreting the scope of coverage for pending or potential claims under commercial general liability (CGL), directors & officers (D&O), errors & omissions (E&O), and other types of policies. Bob vigorously represents clients at the trial and appellate levels to resolve disputes concerning an insurer’s duty to defend and duty to indemnify. This includes prosecuting declaratory judgment actions and claims for breach of contract. He has pursued extra-contractual claims against insurers for wrongful or unreasonable delay and denial of payment in “bad faith” litigation with the objective of ensuring that clients recover the full benefits of their policies.

Certified by the Supreme Court of New Jersey as a Civil Trial Attorney, Bob has served as an amicus representative for professional and business associations on a number of matters before the Supreme Court.

Results may vary depending on your particular facts and legal circumstances.

Contact information:

rhille@greenbaumlaw.com | 973.577.1808 | vCard  | LinkedIn

For more information visit the Greenbaum, Rowe, Smith & Davis LLP website.

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GRSD Healthcare Team

Healthcare Practice

From regulatory issues to complex transactional and litigation matters to day-to-day business counseling, today’s healthcare industry faces a myriad of legal challenges that require the depth and breadth of a well-rounded and experienced team of professionals. The attorneys in the Healthcare…

Healthcare Practice

From regulatory issues to complex transactional and litigation matters to day-to-day business counseling, today’s healthcare industry faces a myriad of legal challenges that require the depth and breadth of a well-rounded and experienced team of professionals. The attorneys in the Healthcare practice at Greenbaum, Rowe, Smith & Davis possess a sophisticated understanding of the unique healthcare business environment, both here in New Jersey and beyond.

The members of the firm’s healthcare team counsel a roster of clients that includes many of New Jersey’s foremost healthcare systems, hospitals and medical facilities, medical staffs, organized delivery systems (ODSs), clinically integrated networks (CINs), independent practice associations (IPAs), physicians and physician group practices, dentists and dental practices, physician and hospital-physician joint ventures, pharmaceutical companies, managed care organizations, home health agencies, nursing homes, behavioral health organizations, healthcare industry vendors, medical device manufacturers, management service organizations (MSOs), private equity firms, and industry-associated financial and corporate entities. This inclusive representation has propelled the team to statewide and national prominence within the healthcare field.

Our comprehensive healthcare practice encompasses numerous areas of focus. The attorneys in this practice area possess the requisite targeted expertise and hands-on experience to effectively represent a broad range of healthcare industry clients across a spectrum of legal concerns

Visit our website to contact the Healthcare Practice.

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  • Posted in:
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  • Blog:
    Healthcare Perspectives
  • Organization:
    Greenbaum, Rowe, Smith & Davis LLP
  • Article: View Original Source

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