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Friday, April 24, 2026

Supreme Court Opinion Raises Stakes for Physician Billing - Medscape

In a ruling that legal experts say could heighten scrutiny of physicians and hospitals that bill government-funded insurance programs, the US Supreme Court voted unanimously last week to reopen two False Claims Act (FCA) cases, reversing a lower court's ruling and issuing an opinion that could expand the scope of the antifraud statute.

The ruling is viewed as a loss for the American Medical Association (AMA) and the American Hospital Association (AHA), which filed amicus briefs urging the Supreme Court not to expand the FCA's scope.

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