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 […]
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 […]
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 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, […]
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. […]