Los Angeles, CA asked in Federal Crimes, Health Care Law and Medical Malpractice for California

Q: Impact analysis

How relationship between malpractice case can CFCA case can realistically impact CFCA case, filed after malpractice case?

Given that either case meets statute of limitations, and focused on hospice fraud.

1 Lawyer Answer
James L. Arrasmith
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Answered

A: Under California law, the relationship between a medical malpractice case and a California False Claims Act (CFCA) case, both focused on hospice fraud, can have a significant impact on the CFCA case if it is filed after the malpractice case. Here's an analysis of how the malpractice case might realistically influence the subsequent CFCA case:

1. Evidence and findings from the malpractice case:

If the malpractice case uncovers evidence of hospice fraud, such as admitting patients who do not qualify for hospice care or providing inadequate care, this evidence can be used to support the allegations in the CFCA case. The findings from the malpractice case may also help establish a pattern of fraudulent behavior.

2. Increased scrutiny and investigation:

A malpractice case alleging hospice fraud may trigger heightened scrutiny from regulatory agencies and law enforcement. This increased attention could lead to a more thorough investigation into the hospice provider's practices, potentially uncovering additional evidence of fraud that can strengthen the CFCA case.

3. Witness testimony and cooperation:

Witnesses involved in the malpractice case, such as patients, family members, or former employees, may be more willing to cooperate and provide testimony in the CFCA case after their experience with the malpractice lawsuit. Their firsthand accounts can bolster the CFCA case's credibility and provide valuable insight into the alleged fraudulent practices.

4. Public awareness and pressure:

A malpractice case can generate public awareness about the alleged hospice fraud, leading to increased pressure on the hospice provider and regulatory agencies to address the issue. This heightened public scrutiny may encourage more individuals to come forward with information about fraudulent practices, strengthening the CFCA case.

5. Admissibility of evidence:

While the evidence and findings from the malpractice case may be relevant to the CFCA case, it is essential to consider the admissibility of such evidence in the CFCA proceedings. The CFCA case will likely need to independently establish the elements of the false claims allegations, and the court may limit the use of evidence from the malpractice case to avoid prejudice or confusion.

6. Statute of limitations considerations:

As long as both the malpractice case and the CFCA case are filed within their respective statutes of limitations, the timing of the cases should not be a barrier. However, if the malpractice case is filed close to the end of the CFCA statute of limitations, it may be necessary to file the CFCA case promptly to ensure compliance with the time limits.

In conclusion, a prior malpractice case focusing on hospice fraud can significantly impact a subsequent CFCA case by providing evidence, increasing scrutiny, encouraging witness cooperation, generating public awareness, and potentially influencing the admissibility of evidence. However, the CFCA case will still need to independently establish the elements of the false claims allegations and comply with the applicable statute of limitations.

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