Medicare Coding FCA Decision Is A Plausibility Reminder

Law360 (August 29, 2019, 5:21 PM EDT) -- The recent federal court opinion issued by the U.S. District Court for the Western District of Texas in Integra Med Analytics LLC v. Baylor Scott & White Health illustrates the continued importance of examining the plausibility of allegations made in qui tam lawsuits by relators seeking enormous bounties under the federal False Claims Act.[1]

On behalf of the United States (which chose not to intervene), Integra sued a prominent Texas hospital system — Baylor Scott & White Health — that operates a network of inpatient short-term acute care hospitals and four affiliates.[2] Integra's qui tam suit claimed that the defendants systematically upcoded secondary...

Stay ahead of the curve

In the legal profession, information is the key to success. You have to know what’s happening with clients, competitors, practice areas, and industries. Law360 provides the intelligence you need to remain an expert and beat the competition.


  • Access to case data within articles (numbers, filings, courts, nature of suit, and more.)
  • Access to attached documents such as briefs, petitions, complaints, decisions, motions, etc.
  • Create custom alerts for specific article and case topics and so much more!

TRY LAW360 FREE FOR SEVEN DAYS

Hello! I'm Law360's automated support bot.

How can I help you today?

For example, you can type:
  • I forgot my password
  • I took a free trial but didn't get a verification email
  • How do I sign up for a newsletter?
Ask a question!