What is the federal False Claim Act?

The federal False Claims Act protects employees who report a violation under the False Claims Act from discrimination, harassment, suspension or termination of employment as a result of reporting possible fraud.

What is the purpose of the federal False Claims Act?

The Federal False Claims Act is the U.S. Government's primary weapon for combatting fraud. It allows whistleblowers to sue persons or entities that are defrauding the government and recover damages and penalties on the government's behalf.

What does the False Claims Act say?

The Federal False Claims Act is a federal statute that establishes liability for knowingly presenting a false or fraudulent claim for payment to the United States government or to a government contractor. This includes claims submitted to Medicare or Medicaid. Violating the False Claims Act is a very serious matter.

What is an example of the False Claims Act?

Examples include people who lie to Medicare or Medicaid, facilities that bill for services they did not provide, or those that inflate the cost of the services they did get. They may even lie about who is providing services. The company bills the government for skilled professionals but uses non-professionals instead.

Who is covered by the False Claims Act?

31 U.S.C. 3729(b). In sum, the False Claims Act imposes liability on any person who submits a claim to the federal government that he or she knows (or should know) is false. An example may be a physician who submits a bill to Medicare for medical services she knows she has not provided.

What is the False Claims Act?

How successful are False Claims Act cases?

About 80 percent of all fraud cases won under the False Claims Act are a direct result of whistleblower lawsuits. Whistleblower awards under the Federal law have averaged 17% of recoveries.

What is the False Claims Act and how is it related to coding compliance?

The False Claim Act is a federal law that makes it a crime for any person or organization to knowingly make a false record or file a false claim regarding any federal health care program, which includes any plan or program that provides health benefits, whether directly, through insurance or otherwise, which is funded ...

What is the False Claims Act quizlet?

Creates liability for any person who knowingly submits a false claim or cause another to submit a false claim or knowingly makes a false record or statement to get a false claim paid by gov.

Which is a provision of the federal False Claims Act quizlet?

Imposes liability on any person who submits a claim to the federal government that he or she knows (or should know) is false.

What is the penalty for violating the federal False Claims Act?

False Claims Act Penalty Amounts

Currently, each violation of the False Claims Act creates a possible liability to the United States Government for a civil penalty of no less than $5,500 and no more than $11,000.

What could be the result of a violation under the False Claims Act?

False Claims Act [31 U.S.C.

Filing false claims may result in fines of up to three times the programs' loss plus $11,000 per claim filed. Under the civil FCA, each instance of an item or a service billed to Medicare or Medicaid counts as a claim, so fines can add up quickly.

Does False Claims Act require intent?

The statement that the False Claims Act requires “no proof of specific intent to defraud” means that a person who knowingly commits an action is liable for that action, even if the person didn't know they were violating the False Claims Act.

How do you avoid False Claims Act?

What are the advantages of the False Claims Act?

The False Claims Act, a Civil War-era law, encourages private individuals, such as whistleblowers, to come forward and file suit against unscrupulous government contractors, and share in the government's recovery.

Is False Claims Act criminal or civil?

Federal False Claims Act

18 U.S.C. § 287 establishes a criminal liability against any person, organization, or a contractor when they knowingly submit, or cause, a false or fraudulent claim when the intent is to receive payment or approval.

What is a whistleblower suit under the False Claims Act?

The False Claims Act (FCA) allows whistleblowers to bring lawsuits against companies and individuals who defraud the federal government. Suits under the FCA and similar laws in a number of states are known as “qui tam” actions.

What are the elements of a False Claims Act action?

The False Claims Act defines knowledge broadly to include the following: Actual knowledge. Deliberate ignorance of the truth or falsity of the information. Reckless disregard of the truth or falsity of the information.

When was the False Claims Act enacted?

Many of the Fraud Section's cases are suits filed under the False Claims Act (FCA), 31 U.S.C. §§ 3729 - 3733, a federal statute originally enacted in 1863 in response to defense contractor fraud during the American Civil War.

What are examples of penalties that a healthcare provider could be subject to under the False Claims Act?

Examples of individuals can be criminally prosecuted include the CEO, CFO and medical director of the health care entity. The criminal penalties for submitting false clams to the federal health care program can be up to five years in prison plus a fine of $25,000 (42 USC 1320a-7b).