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Philadelphia False Claims Ordinance

By Susan Schneider Thomas Although – or perhaps because – Pennsylvania does not have a state False Claims Act, both the City of Philadelphia and Allegheny County (encompassing Pittsburgh) have municipal ordinances that address false claims. False Claims Ordinance, Phila. Mun. Code §§ 19-3601, et seq.; Allegheny CountyCode of Ordinances § 485-1, et seq. This post will [...]

By | 2018-07-26T14:05:31+00:00 July 26th, 2018|False Claims Act Information|

What is a False Claim?

By Russell Paul Liability under the federal False Claims Act occurs where someone (a person or a corporate entity): (1) knowingly presents (or causes to be presented) a false or fraudulent claim to the Federal Government for payment; (2) knowingly makes, uses, or causes to be made or used, a false record or statement material to [...]

By | 2018-10-18T12:08:31+00:00 July 24th, 2018|False Claims Act Information|

What are Reverse False Claims?

By Jonathan DeSantis The False Claims Act (“FCA”) is typically thought of as concerning fraudulent attempts to obtain money from the Government. This article explores a lesser known area of FCA liability known as a “reverse false claim,” which involves avoiding the payment of money that is owed to the Government. The History and [...]

By | 2018-07-23T14:58:45+00:00 July 23rd, 2018|False Claims Act Information|

What is a Whistleblower Complaint?

By Joy Clairmont A whistleblower complaint is the initial document filed under seal with the court that sets out all of the whistleblower’s allegations and claims against a defendant. In addition to being filed with the court, the complaint is also served on the government so that they can start their investigation into the [...]

By | 2018-07-20T10:48:09+00:00 July 20th, 2018|False Claims Act Information|

Montana False Claims Act

By Shauna Itri The Montana False Claims Act is modeled after the federal False Claims Act and allows individuals with information related to fraud, waste, and abuse being perpetrated on the Montana government to file a lawsuit on behalf of the government. Montana False Claims Act Liability Under the Montana False Claims Act, similar [...]

By | 2018-07-17T11:53:20+00:00 July 17th, 2018|False Claims Act Information|

What is Hospice Fraud?

By Russell Paul Medicare Part A covers hospice care when a patient is certified as “terminally ill.” See e.g. 42 C.F.R. §§ 418.20, 418.22. “Terminally ill” means that a patient’s medical prognosis is for a life expectancy of six months or less due to the patient’s particular disease if it runs its normal course. See [...]

By | 2018-07-16T10:37:56+00:00 July 16th, 2018|Healthcare Fraud|

How to Report a Clinic for Healthcare Fraud

By Shauna Itri The state and federal governments pay hundreds of billions of dollars each year for pharmaceutical drugs, medical devices, hospital care, outpatient services, physician visits, and nursing home care. In making payments for these services, the government relies on clinics, companies, and individuals to abide by the law and submit accurate reimbursement [...]

By | 2018-07-12T11:01:16+00:00 July 12th, 2018|Healthcare Fraud|

What is the Difference Between Internal and External Whistleblowing?

By Susan Schneider Thomas Let’s begin this post by defining the term “whistleblowing” and distinguishing it from “leaking,” or disclosing government practices or documents. When we use the term “whistleblowing,” we’re talking about reporting on misconduct by individuals or companies that takes advantage of the government or causes some public harm. Most specifically, since [...]

By | 2018-07-11T11:25:15+00:00 July 11th, 2018|False Claims Act Information|
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