Last week’s ruling by the United States Court of Appeals for the Eleventh Circuit in United States v. AseraCare is a win for hospice and other health care providers who have long argued that a mere difference of clinical opinion among physicians is not enough to prove falsity under the False Claims Act. While the AseraCare ruling specifically applied in the context of hospice reimbursement, it is in line with prior rulings regarding provider judgment and will clearly impact other cases nationwide.
Regulations, Compliance, & Enforcement
Trending Now
New Bill Would Tighten Fraud Screening Across Federal Awards • US Department of Labor Announces 2026 Virtual Seminars for Current, Prospective Federal Contractors on Prevailing Wage Requirements • Grants Compliance 101: Your Grant Project Is Moving Forward. Now What? • FTC Signals Renewed “Made in USA” Enforcement Focus Following Trump Executive Order • The New DEI Crackdown: What Federal Contractors Must Do Now
AseraCare 11th Circuit Case Holds Differences in Hospice Clinical Opinions Are Insufficient to Demonstrate Falsity Under the FCA
S_L | Shutterstock
Track False Claims Act cases, audit trends, and compliance best practices with our Compliance & Enforcement newsletter, delivering up-to-the-minute intelligence Monday–Saturday — Subscribe here.