Rushed Approval Process Does Not Render Medical Services Worthless; United States District Court for the Southern District of New York No. 19 Civ. 2501 (VM), U.S. ex rel. SW Challenger LLC, et al. v. eviCore Healthcare MSI LLC

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The district court granted the defendant’s motion to dismiss a qui tam case alleging healthcare fraud and employment retaliation. The defendant is an independent contractor who provides prior authorization services for healthcare providers who treat Medicare and Medicaid beneficiaries. The relators argued that the defendant’s process for reviewing and approving a request for authorization for […]
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