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4th Circ. Finds Medical Necessity Material To Health Fraud

Law360, Nashville (October 31, 2017, 9:17 PM EDT) -- The Fourth Circuit on Monday affirmed a couple’s health care fraud convictions, finding that insurers would not have knowingly paid for medically unnecessary urine drug tests, even under the materiality standard established in the landmark Escobar False Claims Act decision.

Joseph Webb and Beth Palin had failed to show either that a district court had wrongly failed to consider the materiality of their misrepresentations, or that any materiality error was more than harmless, after they were convicted for billing insurers for medically unnecessary urine drug tests,...
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