Medicare and Medicaid Fraud: The Reverse False Claim and the 60-Day Rule

In 2009, Congress amended the False Claims Act (FCA) to impose liability on those who knowingly fail to reimburse the government for overpayments.  31 U.S.C. § 3729(a)(1)(G).  This is known as the "reverse false claim" because it is based on a failure to reimburse the government, rather than on fraudulently induced payments.  Compare § [...]

2024-10-02T18:29:13+00:00December 31st, 2019|

Whistleblower Law: The First-to-File Rule

Under 31 U.S.C. § 3730(b)(5), when a whistleblower files a False Claims Act (FCA) lawsuit, no other person may bring a related action based on the same underlying facts.  This first-to-file rule functions much like the original source rule, baring subsequent attempts to file suits based on information already available to the government.  However, unlike [...]

2019-12-30T20:37:24+00:00December 30th, 2019|
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