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ARTICLE · 18 MAY 2015

Growing Use Of Sampling In FCA Cases

In prior years, sampling has been at issue in FCA cases largely in the context of damages.

United StatesCriminal Law

In prior years, sampling has been at issue in FCA cases largely in the context of damages. Specifically, where there were allegations of a specific course of wrongful conduct that allegedly impacted large volumes of claims, sampling could be used to determine and extrapolate damages. However, a couple of recent decisions have suggested an expanded use of sampling that would also encompass issues of liability.

On September 29, 2014, a federal judge in the United States District Court for the Eastern District of Tennessee ruled that the Government could take extrapolations from a sample of billing statements in order to determine and establish liability against the defendants for submitting false claims. The case of U.S. ex rel. Martin v. Life Care Centers, presented an issue of first impression in the FCA context. Life Care Centers was accused of billing for medical care that was not necessary over a period of several years. The Government sought to use a random sample

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