The False Claims Act: the courts move toward a rule of reason

Physicians have been concerned that the False Claims Act may be invoked recklessly, and that they are at the mercy of whistleblowers in their own midst or from the outside who may act in revenge or pique. This article discusses the evolution of case law involving medical practices and reimbursement...

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Bibliographic Details
Published inThe Journal of medical practice management Vol. 20; no. 6; p. 317
Main Authors Mustokoff, Michael M, Nelson, Carrie E
Format Journal Article
LanguageEnglish
Published United States 01.05.2005
Subjects
Centers for Medicare and Medicaid Services (U.S.)
Fraud - legislation & jurisprudence
Humans
Insurance Claim Reporting - legislation & jurisprudence
Liability, Legal
Medicaid - legislation & jurisprudence
Medicare - legislation & jurisprudence
Physician Self-Referral - legislation & jurisprudence
Practice Management, Medical - economics
Practice Management, Medical - legislation & jurisprudence
United States
Whistleblowing
United States
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Summary:Physicians have been concerned that the False Claims Act may be invoked recklessly, and that they are at the mercy of whistleblowers in their own midst or from the outside who may act in revenge or pique. This article discusses the evolution of case law involving medical practices and reimbursement issues that deal with government payment regulations. It indicates the limitations that are imposed on prosecutors, as well as the liability that providers do incur under current statues.
ISSN:8755-0229