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The Department of Justice (DOJ) proclaimed 2012 as yet another health care fraud record-breaker. Of $4.9 billion in total False Claims Act (FCA) recoveries, over $3 billion was recovered in health care fraud actions. DOJ also opened 885 new civil, and over 1,100 new criminal, health care fraud investigations, and convicted 826 defendants of health care fraud-related crimes.'
In the heavily regulated health care sector, the line between human error and a knowing “false claim” can be indistinct, aided and abetted by prosecutors' reliance on the FCA-defined concepts of “reckless disregard” and “deliberate ignorance” as proxies for proof of actual knowledge. See 31 U.S.C. ' 3729(b)(1). Nowhere is this line more blurry than in the area of current Good Manufacturing Practices (cGMP) for pharmaceutical and medical device manufacturers.”'
The DOJ's Criminal Division issued three declinations since the issuance of the revised CEP a year ago. Review of these cases gives insight into DOJ's implementation of the new policy in practice.
The parameters set forth in the DOJ's memorandum have implications not only for the government's evaluation of compliance programs in the context of criminal charging decisions, but also for how defense counsel structure their conference-room advocacy seeking declinations or lesser sanctions in both criminal and civil investigations.
This article discusses the practical and policy reasons for the use of DPAs and NPAs in white-collar criminal investigations, and considers the NDAA's new reporting provision and its relationship with other efforts to enhance transparency in DOJ decision-making.
There is no efficient market for the sale of bankruptcy assets. Inefficient markets yield a transactional drag, potentially dampening the ability of debtors and trustees to maximize value for creditors. This article identifies ways in which investors may more easily discover bankruptcy asset sales.
Active reading comprises many daily tasks lawyers engage in, including highlighting, annotating, note taking, comparing and searching texts. It demands more than flipping or turning pages.