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April 09, 2021   
Health Law Weekly

Ninth Circuit Boots Upcoding FCA Claims for Relator’s Failure to Rule Out Alternative Explanation

  • April 09, 2021

The Ninth Circuit March 31 said a False Claims Act (FCA) suit must be dismissed because the relator failed to rule out an obvious alternative and non-fraudulent explanation for the defendant’s coding of procedures at a higher payment level.

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