BC Advantage - 2014 Issue 12

Reverse False Claims

Health care providers are generally well aware that they can find themselves in a considerable amount of trouble if they submit false claims to the government. The False Claims Act subjects a person to liability for knowingly presenting, or causing the presentation of a false claim to the government for payment. It also extends liability to the person who knowingly makes or causes a false record or statement which is material to a false claim presented to the government for payment. A "traditional" false claim involves the physician's (or provider's) receipt of a government payment from the submission of...

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