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Loudoun County Attorneys > False Claims Act

False Claims Act

If you have knowledge of an organization or company that has defrauded the federal government, you have the chance to not only do your civil duty of reporting that theft, but also the opportunity to be heavily rewarded. By acting as a whistleblower, individuals with knowledge of false claims have the ability to file lawsuits on behalf of the federal government. To learn more, the Simms Showers false claims attorneys can answer any questions you may have.

Qui Tam Lawsuits

The federal government recovered over $2.2 billion in fraud and false claims settlements and judgments in 2020. This was largely made possible by whistleblowers. The False Claims Act (FCA), 31 U.S.C. §§ 3729 – 3733 (also known as the Lincoln Law), is a federal statute that enables private citizens to act as whistleblowers on behalf of the government when they have knowledge of fraudulent claims being made against the federal government. The whistleblower is allowed to sue for damages, including treble damages, which are up to three times the actual economic harm that was caused to the government. As an incentive for individuals to come forward, whistleblowers can be heavily rewarded when these false claim lawsuits, called Qui Tam lawsuits, are successful.

Examples of False Claims

There are many ways in which an individual, organization, or corporation/business can cheat a governmental program, which is the essence of a false claim. Examples of false claims include:

  • Kickbacks and Self Referral—Medical providers are prohibited from paying or compensating patients to use their services when billing Medicare, Medicaid, or another federally funded healthcare program, which is considered self referral and is a violation of the Stark Law. Similarly, pharmaceutical companies and other medical device manufacturers are prohibited from paying or compensating physicians or hospitals to use their drugs or devices.
  • False billing—There are many types of false billing to a federally funded healthcare program. Examples include billing a patient more than once, overbilling for services, unbundling services that would otherwise be less expensive, and upcoding.
  • False cost reports—Nursing homes, hospitals, and other medical providers are prohibited from inflating overall costs incurred or falsifying the types of costs when seeking reimbursement from the federal government, which assists these facilities with patient care, overhead, financing, and more.

While false claims are extremely prevalent in the healthcare industry, as described above, they occur in other industries as well, including defense contractors, Department of Housing and Urban Development building contractors, companies that falsely claim government approval, and manufacturers who knowingly sell defective products and lie about passing certifications.

Contact Our Team Today

The False Claims Act attorneys at Simms Showers have a vast resource of knowledge when it comes to working alongside the federal government to prosecute False Claims Act cases. Our attorneys have worked for the United States Department of Justice as prosecutors, and we routinely work as False Claims Act investigators. If your employer or another party is taking advantage of the federal government and taxpayers alike, call the False Claims Act attorneys at Simms Showers LLP today to schedule a free consultation.

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