Conditions Of Participation And Payment As Qui Tam Defense

Law360, New York (December 7, 2011, 1:28 PM EST) -- Health care fraud allegations, particularly where they involve a sealed whistleblower suit filed on behalf of the government under the False Claims Act, called a qui tam, can initially appear to be much more serious than they are.

If you routinely defend health care fraud cases, the following scenario is common. An upset hospital CEO calls you, having just received a U.S. Department of Health and Human Services Office of the Inspector General subpoena asking for documents alluding to the physician's billing for medically unnecessary services,...
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