Where Is the Oversight?
Just before Christmas I read an article about a case in Texas where a doctor was sentenced to a lengthy prison term for a scheme to defraud Medicare and Medicaid in excess of $25 million. The doctor had been approached by individuals offering to pay him a kickback for supplying Certificates of Medical Necessity (CMN) […]
The Most Significant Recent Qui Tam Whistleblower Cases Under the False Claims Act
This is the final section of my article. It discusses the most significant recent qui tam cases under the False Claims Act (as of December 2006). B. Recent Significant Recoveries Under the False Claims Act: 1. Health Care Industry a. Tenet Healthcare Corporation: $900 million In June 2006, Justice Department announced that Tenet Healthcare Corporation, […]
The Growing Importance of the Qui Tam Whistleblower Cases Under the False Claims Act
This is part 4 of my article on the False Claims Act. This part discusses the huge increase in federal dollars recovered in the past few years: IV. Recent Recoveries and Other Developments In Qui Tam Litigation A. An Explosion of Federal Dollars Recovered Since 1986, Under the False Claims Act Over the past 20 […]
How the Modern False Claims Act Works in Qui Tam Whistleblower Cases
This is part 3 of my article on how the False Claims Act works: III. Brief Overview of How the Modern False Claims Act Works A. Conduct Prohibited The federal False Claims Act imposes civil liability under several different theories: First, the Act makes liable any person who knowingly presents, or causes to be presented, […]
History of the False Claims Act
This is the second part of my article explaining the False Claims Act–it addresses the history of the Act: II. Background of the False Claims Act While the False Claims Act may be the best known qui tam statute, it is far from being the first. Qui tam actions date back to English law in […]
Introduction to the False Claims Act and Qui Tam Whistleblower Cases
I wrote this article for a seminar to explain the False Claims Act to those who may not know about it. I hope it may be useful to those who are interested in the Act. I have divided it into several sections–this is the first section, summarizing how the False Claims Act came to be […]