Federal Court’s Discovery Ruling Offers Lessons To Insurers Alleging Health Care Fraud Pursuant To Predetermined Protocol Theory
By EsqSocial Corporation 25/02/21
Last month, in Government Employees Insurance Co. v. Cereceda, 2021 WL 148738 at *6-7 (S.D. Fla. Jan. 15, 2021) (“Cereceda”), the Southern District of Florida issued a discovery ruling that insurers should consider carefully in connection with their fraud claims against health care providers which allege the providers committed fraud by billing for services rendered to patients pursuant to predetermined treatment protocols designed to take advantage of patients’ insurance benefits, rather than...
By: Seyfarth Shaw LLP