The False Claims Act (FCA) has been called the government's most successful weapon in the fight against healthcare fraud and abuse (S. Rep. No. 345, 1986). The FCA imposes liability on any person who "knowingly presents...a false or fraudulent claim for payment or approval" to the ...
Under the Federal False Claims Act, a"Claim"is redefined to include not only claims submitted by a health care provider to the Government, but now also includesany claim submitted by a contractor or subcontractor to the provider or managed care organization"if the money or property is to be ...
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established the HCFAC in an effort to coordinate federal, state, and local law enforcement with respect to healthcare fraud and abuse enforcement activities. The HCFAC provides a SportsCenter Top...
(A) the person committing the violation of this subsection furnished officials of the United States responsible for investigating false claims violations with all information known to such person about the violation within 30 days after the date on which the defendant first obtained the information; (...
The Qui Tam Provision of the Federal False Claims Act: The Statute in Current Form, Its History and Its Unique Position to Influence the Health Care Industry Unlike the defense industry (which has relatively little contact with the general public), the health care industry, as a service industr...
False Claims Act Defense of Doctors Grand Jury Subpoenas Civil Investigative Demand Cases InvolvingIRS,DEA,FDA,USDA,FCPA White-Collar Litigation National Security Cases Congressional Subpoenas Corporate Compliance Expand more Healthcare Audit Healthcare Compliance ...
"The False Claims Act does not create liability merely for a health care provider's disregard of government regulations or improper internal policies unless, as a result of such acts, the provider knowingly asks the Government to pay amounts it does not owe."5 The violation of the regulations...
While the absolute number of cases may not decline, the relative percentage of total False Claims Act recoveries may fall. The latest health care prosecution involved the Oklahoma Center for Orthopedic and Multi-Specialty Surgery (OCOM), a specialty hospital in Oklahoma City, Oklahoma its part-...
Federal district court holds that application of the False Claims Act鈥檚 civil penalty provision would violate the Eighth Amendment鈥檚 prohibition of excessive fines and declines to impose penalties where there is no evidence of economic harm to the government...
Client(s)Education Management Corporation Jones Day is defending Education Management Company (EDMC) against a False Claims Act action brought by private relators and joined by the federal government, several states and the District of Columbia. EDMC is one of the nation's largest, for-profit, pr...