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Qui Tam: Suing Physicians Who Make False Claims
- David C. Hsia, JD, MD, MPH
Abstract
The 1986 False Claims Act Amendments authorize private citizens to sue on behalf of the U.S. government to recover federal funds from fraudulent recipients. The "relator" receives a share of any proceeds from a successful lawsuit. Originally enacted because of defense procurement scandals, this statute also applies to federal payments for health care (for example, Medicare, Medicaid, Civilian Health and Medical Program for Uniformed Services payments; veterans benefits; and research grants). Physicians can expect qui tam litigation to increase in the future.
Article and Author Information
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From the U.S. Department of Health and Human Services, Office of Inspector General, Washington, DC. For the current author address, see end of text.
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The views in this paper do not represent the policy of any federal agency. This paper does not constitute legal or medical advice.
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Requests for Reprints: David Hsia, JD, MD, MPH, Cohen 5650, DHHS Office of Inspector General, 330 Independence Avenue, SW, Washington, DC 20201.
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Current Author Address: Dr. Hsia: Cohen 5650, DHHS Office of Inspector General, 330 Independence Avenue, SW, Washington, DC 20201.
