U.S. v. ASERACARE, INC.

No. 16-13004.

938 F.3d 1278 (2019)

UNITED STATES of America, Plaintiff-Appellant, v. ASERACARE, INC., GGNSC Administrative Services, d.b.a. Golden Living, f.k.a. Beverly Enterprises, Inc., Hospice Preferred Choice, Inc., Hospice of Eastern Carolina, Inc., Defendants-Appellees.

United States Court of Appeals, Eleventh Circuit.

September 9, 2019.


Attorney(s) appearing for the Case

Abby Christine Wright , U.S. Attorney General's Office, WASHINGTON, DC, Michael B. Billingsley , Erin Massey Everitt , Don Boyden Long, III , Mary Lester Marshall , Jenny Lynn Smith , Lane H. Woodke , U.S. Attorney's Office, BIRMINGHAM, AL, Stacy C. Gerber Ward , U.S. Attorney's Office, MILWAUKEE, WI, Renee Brooker , Christina Davis , William Edward Olson , Holly H. Snow , Carolyn B. Tapie , Jeffrey Wertkin , U.S. Department of Justice, Civil Division, WASHINGTON, DC, Eva U. Gunasekera , U.S. Department of Justice, WASHINGTON, DC, Joyce White Vance , University of Alabama School of Law, BIRMINGHAM, AL, for Plaintiff-Appellant.

Matthew Howard Lembke , R. Aaron Chastain , Nicholas Adam Danella , Cameron W. Ellis , Jack W. Selden , Tiffany J. deGruy , Bradley Arant Boult Cummings, LLP, BIRMINGHAM, Kimberly Bessiere Martin , Bradley Arant Boult Cummings, LLP, HUNTSVILLE, AL, for Defendants-Appellees.

Colette G. Matzzie , Phillips & Cohen, LLP, WASHINGTON, DC, for Amicus Curiae TAXPAYERS AGAINST FRAUD EDUCATION FUND

Maame Gyamfi , AARP Foundation Litigation, WASHINGTON, DC, for Amici Curiae AARP, AARP FOUNDATION LITIGATION

James F. Segroves , Reed Smith, LLP, WASHINGTON, DC, for SAVASENIORCARE ADMINISTRATIVE SERVICES, LLC

Catherine Emily Stetson , Hogan Lovells US, LLP, WASHINGTON, DC, for AMERICAN MEDICAL ASSOCIATION, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, NATIONAL ASSOCIATION FOR HOME CARE AND HOSPICE, AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE, HOSPICE AND PALLIATIVE NURSES ASSOCIATION

Before ROSENBAUM and JULIE CARNES, Circuit Judges, and SCHLESINGER, District Judge.


This case requires us to consider the circumstances under which a claim for hospice treatment under Medicare may be deemed "false" for purposes of the federal False Claims Act. Defendants comprise a network of hospice facilities that routinely bill Medicare for end-of-life care provided to elderly patients. In the underlying...

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