Marc E. Masters

Representative False Claims Act Cases
Marc was counsel for a prominent risk assessment provider in a federal False Claims Act case in which our client was accused of conspiring with numerous co-defendant health plans to provide fraudulent risk adjustment data to CMS, purportedly resulting in inflated patient risk scores and inflated Medicare Advantage capitation payments. Following a successful motion to dismiss the majority of claims against our client, the remaining claims against our client were settled on favorable terms.

Marc was counsel for a global non-profit provider of AIDS/HIV healthcare, prevention services, and testing in a federal False Claims Act case in which our client was accused of violating the federal anti-kickback laws governing payments for patient referrals, including payments for linking patients to a Medicare Advantage health plan backed by our client. Following a successful motion to dismiss virtually all claims against our client, the case resolved favorably.

Marc is counsel for a start-up and its founder, who invented cutting-edge communications technology for use in tough tactical environments, such as warzones and hurricanes. Marc represents them in connection with an ongoing federal False Claims Act investigation – involving allegations of overcharging for labor costs in government contracts – and a parallel criminal investigation.

Marc is counsel for a national law firm in a California False Claims Act case in which our client is accused of having caused the submission of false claims for payment to the board of a municipal water district in connection with a groundwater storage program.

Marc was counsel for a prominent healthcare corporation that owns and operates independent physician associations and hospitals in a federal False Claims Act case in which our client was accused of defrauding Medicare and Medi-Cal by seeking and receiving reimbursements for the unnecessary hospitalization and treatment of patients. Following a years-long investigation by the United States Attorney’s Office in Los Angeles, the case settled on favorable terms.

Marc was counsel for certain physicians in a federal False Claims Act case in which our clients were accused of engaging in a scheme to defraud Medicare and Medi-Cal by paying and receiving kickbacks for patient referrals, admitting and providing unnecessary medical services to patients, and billing Medicare and Medi-Cal for services provided by an excluded person. Following the filing of our summary judgment motions, the case settled on favorable terms.