
Types of Qui Tam Cases
Qui Tam in Health Care
Health care fraud makes up a large percentage of Qui Tam actions
pending. The Department of Justice combats health care fraud
as demonstrated by a recent $175 million settlement from a nursing
home chain to settle Medicare/Medicaid fraud allegations.
Health Care Fraud Includes:
» Billing for services not performed
or required
» Falsifying the nature of the services
provided
» Falsifying the nature of the services
billed
» Submission of false claims to Medicare or Medicaid
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