Ninth Circuit Reverses Lower Court Holding on Objective Falsity in Medicare Fraud Case; United States Court of Appeals for the Ninth Circuit No. 18-55020, U.S. ex rel. Jane Winter v. Gardens Regional Hospital and Medical Center Inc., et al.

The Ninth Circuit reversed and remanded a district court’s dismissal of a qui tam case alleging the defendants defrauded Medicare by approving hospital admissions without medical necessity. The district court held that medical opinions could not be objectively false and that the defendants’ failure to follow internal admissions guidance was not material. However, the circuit […]
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