Jaime L.M. Jones, Brenna E. Jenny, Krystalyn K. Weaver, Author at False Claims Act Blog

About Jaime L.M. Jones

Chicago

Entries by Jaime L.M. Jones

19 11 '21

Medicare Advantage Enforcement: DOJ Advances New Theories Based on Retrospective Chart Reviews

November 19, 2021/in Intervention, Medicare Advantage/by Jaime L.M. Jones

Over the past two months, DOJ has filed complaints-in-intervention in two FCA cases premised on allegedly fraudulent diagnosis codes submitted to CMS as a result of retrospective chart reviews. These […]

13 07 '21

D.C. Circuit Applies But-For Causation Standard, Weak Materiality Test to FCA Claims, While Concurrence Questions Viability of Fraudulent Inducement Theory

July 13, 2021/in Causation, D.C. Circuit, Fraudulent Inducement, Materiality, Rule 12(b)(6), Rule 9(b)/by Jaime L.M. Jones

On July 6, 2021, the D.C. Circuit Court of Appeals affirmed in part and reversed in part a district court’s dismissal of the qui tam suit against IBM in United […]