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2020 U.S. App. LEXIS 8986 *
JANE WINTER, ex rel. United States of America, Plaintiff-Appellant, v. GARDENS REGIONAL HOSPITAL AND MEDICAL CENTER, INC., DBA Tri- City Regional Medical Center, a California corporation; ROLLINSNELSON LTC CORP., a California corporation; VICKI ROLLINS; BILL NELSON; S&W HEALTH MANAGEMENT SERVICES, INC., a California corporation; BERYL WEINER; PRODE PASCUAL, M.D.; RAFAELITO VICTORIA, M.D.; ARNOLD LING, M.D.; CYNTHIA MILLER-DOBALIAN, M.D.; EDGARDO BINOYA, M.D.; NAMIKO NERIO, M.D.; MANUEL SACAPANO, M.D., Defendants-Appellees.
Prior History: [*1] Appeal from the United States District Court for the Central District of California. D.C. No. 2:14-cv-08850-JFW-E. John F. Walter, District Judge, Presiding.
United States v. Gardens Reg'l Hosp. & Med. Ctr., Inc., 2017 U.S. Dist. LEXIS 221356 (C.D. Cal., Dec. 29, 2017)
patients, alleges, inpatient, medical necessity, falsity, fraudulent, district court, medically necessary, clinical, scienter, false certificate, medical record, false claim, hospitalization, admitting, certification, falsehood, fraudulent claim, false statement, reimbursement, diagnosis, knowingly, illness
Business & Corporate Compliance, Labor & Employment Law, Employer Liability, False Claims Act, Governments, Federal Government, Claims By & Against, Labor & Employment Law, False Claims Act, Scope & Definitions, Qui Tam Actions, Scope & Definitions, Burdens of Proof, Civil Procedure, Defenses, Demurrers & Objections, Motions to Dismiss, Failure to State Claim, Appeals, Standards of Review, De Novo Review, Pleadings, Heightened Pleading Requirements, Fraud Claims, Legislation, Interpretation, Pleading & Practice, Heightened Pleading Requirements