James Segroves is a senior associate in the Health Care Department of Proskauer. His litigation-focused practice covers a diverse range of subject matters at both the trial and appellate levels of court systems throughout the United States, as well as matters before administrative tribunals.
James regularly represents defendants in litigation brought under the federal False Claims Act (FCA) and similar state legislation. For example, in 2011, James helped convince the United States District Court for the Southern District of New York to dismiss an FCA action brought against a major academic medical center seeking penalties and treble damages exceeding $1.5 billion. In dismissing the case with prejudice, the district court agreed that federal Medicare regulations did not expressly prohibit the accounting practice in question. "The worst that can be said of [the defendant-hospital]," the district court concluded, "that it took advantage of the uncertainty in the regulations to maximize its Medicare billings. This is not fraud." On August 16, 2012, the district court denied the relator's motion to reopen the case based on supposed "newly discovered" evidence, finding that the motion was untimely and lacked substantive merit.