The False Claims Act: Increases in Investigations, Violations, and Penalties

J Med Pract Manage. 2016 Sep;32(2):143-145.

Abstract

The False Claims Act is a tool used by the government, its contractors, and even employees of healthcare providers to recover overpayments and other improper reimbursements given to physicians for healthcare services provided to Medicare and other federal health program beneficiaries. In recent years, we have seen an increase in the number of False Claims Act cases filed against unsuspecting healthcare providers and practices. These cases have resulted in billions of dollars being paid back to the federal government. Knowing and understanding the requirements of the False Claims Act and implementing best practices and strategies to avoid violating any of these provisions will help practices to ensure that they do not become subject to the massive penalties imposed on violators.

MeSH terms

  • Fraud / legislation & jurisprudence*
  • Humans
  • Insurance Claim Reporting / legislation & jurisprudence*
  • Insurance, Health, Reimbursement / legislation & jurisprudence*
  • Liability, Legal*
  • Practice Management, Medical / legislation & jurisprudence*
  • Supreme Court Decisions
  • United States