The History Of False Claims
This paper is to discuss the history of false claims. I will talk about some laws of false claims; it will mostly focus on Qui-tam. (What does Qui-tam mean to you) I will give examples of some real cases and will talk about the cost of qui tam. The False Claims Act (FCA) is a compliance program of the federal government committed to fighting fraud, abuse, and waste in the healthcare system (Moseley, 2015). Written and Thompson defined FCA as a principle of federal government tool that fights fraud (2015).
While working in a Healthcare Industry, people should know and show an overview of the FCA. The FCA was endorsed by congress in 1863 during the Civil War; the Federal Law makes it a crime for any person or organization that makes a false …show more content…
In 1986 the FCA made some changes to help reduce fraud, which is as followed: increased penalties to losing defendants protect realtors from retaliation (False Claims Amendments Act of 1986).
Types of false claims act There are four types of the False Claims Act that are important. Moseley mentions the four as follow, “direct submission of a false claim, making false records or statements in support of a false claim, making false records or statement to avoid paying the government, and conspiring with others to violate any of the previous three provisions” (2015). Direct submissions of false claims contain false or fraudulent information of the classic false claim (Clark). This one is for anyone who knowingly submits a false or fraudulent claim for payment (Moseley, 2015). An example of this claim is someone who bills Medicare for a medical procedure that was never performed. Some people think that they can get away with doing something like this. People should be ashamed by their actions; they cannot get away with …show more content…
An example of this act is a healthcare provider submits a written certification stating that a certain test was performed on someone but it was never actually performed and the certification id depends on a part of a payment process (Clark ?).
The third claims are anyone who intentionally makes, causes, or uses a false record for a payment or property to the government or anyone who improperly decreases or avoids paying money to the government (Moseley, 2015). For example, someone is trying to get money from the government or someone who does not want to pay money to the government.
The last claim is anyone who knowingly commits a violation of any the three claims mentioned above will be liable. According to Moseley the claims there are always another person who is involved and have agreed to violate and committed fraud to the
While working in a Healthcare Industry, people should know and show an overview of the FCA. The FCA was endorsed by congress in 1863 during the Civil War; the Federal Law makes it a crime for any person or organization that makes a false …show more content…
In 1986 the FCA made some changes to help reduce fraud, which is as followed: increased penalties to losing defendants protect realtors from retaliation (False Claims Amendments Act of 1986).
Types of false claims act There are four types of the False Claims Act that are important. Moseley mentions the four as follow, “direct submission of a false claim, making false records or statements in support of a false claim, making false records or statement to avoid paying the government, and conspiring with others to violate any of the previous three provisions” (2015). Direct submissions of false claims contain false or fraudulent information of the classic false claim (Clark). This one is for anyone who knowingly submits a false or fraudulent claim for payment (Moseley, 2015). An example of this claim is someone who bills Medicare for a medical procedure that was never performed. Some people think that they can get away with doing something like this. People should be ashamed by their actions; they cannot get away with …show more content…
An example of this act is a healthcare provider submits a written certification stating that a certain test was performed on someone but it was never actually performed and the certification id depends on a part of a payment process (Clark ?).
The third claims are anyone who intentionally makes, causes, or uses a false record for a payment or property to the government or anyone who improperly decreases or avoids paying money to the government (Moseley, 2015). For example, someone is trying to get money from the government or someone who does not want to pay money to the government.
The last claim is anyone who knowingly commits a violation of any the three claims mentioned above will be liable. According to Moseley the claims there are always another person who is involved and have agreed to violate and committed fraud to the