Healthcare Fraud

False Claims Act, Qui Tam Litigation

The False Claims Act (FCA) is used by the federal government to prosecute persons in a variety of industries who submit fraudulent statements.  Those who knowingly submit invoices to, or avoid obligations with, the federal government may be liable for treble damages and civil penalties.  31 USC §3729 et seq.  Actions may be initiated by the Attorney General's office or by private whistleblowers under Qui Tam provisions.

In the healthcare field, physicians, physicians groups, hospitals, nursing homes, health systems and a wide spectrum of providers and businesses who submit statements for payment to the federal government must be diligent in compliance and supervision to avoid FCA qui tam initiated suits.

Clausen Miller's healthcare department has represented businesses in false claim litigation.  In addition its attorneys can advise clients on related regulatory issues and compliance programs.