1
Healthcare Fraud, False Clams and Others
Learner Full Name
Course Title
Assignment Title
Institution Name
Month Year
, 2
False Claims Act
Hypothesis
Private litigants can seek restitution for damages caused by fraud against the federal
government under the False Claims Act (F.C.A.). The F.C.A. punishes people who have
fraudulently received government funding. False Claims Act allows private persons like realtors
to sue on the government's behalf to stop fraudulent acts. The purpose of the False Claims Act is
to protect the United States government from being defrauded and it imposes harsh penalties on
anyone who knowingly submits or induces the filing of a fraudulent claim (Showalter, 2012).
This article provides an overview of the False Claims Act, analyzes a real-world court case
involving the act's violations, and suggests strategies for reducing such risks for healthcare
providers.
Specific Law and Statute
The False Claims Act (F.C.A.) describes the evolution and implementation of Title 31
sections 3729–3733. Anyone who willfully submits a fraudulent claim to the government must
repay two times the amount the government lost, plus a $2,000 penalty per claim, as stated in the
F.C.A (Settipalli & Gangadharan, 2021). Because of all the updates made to the Act, the fines for
breaking it are now triple the initial amount, adjusted for inflation. It permits citizens to file suit
on behalf of the government. Those who successfully file qui tam lawsuits may be awarded a
percentage of the funds recovered by the government.
Legal Case
The hospital was accused of breaking the law by the claims against Sutter Health. Ex-risk
adjustment project manager made these claims. The 2015 complaint claimed that Sutter Health
Healthcare Fraud, False Clams and Others
Learner Full Name
Course Title
Assignment Title
Institution Name
Month Year
, 2
False Claims Act
Hypothesis
Private litigants can seek restitution for damages caused by fraud against the federal
government under the False Claims Act (F.C.A.). The F.C.A. punishes people who have
fraudulently received government funding. False Claims Act allows private persons like realtors
to sue on the government's behalf to stop fraudulent acts. The purpose of the False Claims Act is
to protect the United States government from being defrauded and it imposes harsh penalties on
anyone who knowingly submits or induces the filing of a fraudulent claim (Showalter, 2012).
This article provides an overview of the False Claims Act, analyzes a real-world court case
involving the act's violations, and suggests strategies for reducing such risks for healthcare
providers.
Specific Law and Statute
The False Claims Act (F.C.A.) describes the evolution and implementation of Title 31
sections 3729–3733. Anyone who willfully submits a fraudulent claim to the government must
repay two times the amount the government lost, plus a $2,000 penalty per claim, as stated in the
F.C.A (Settipalli & Gangadharan, 2021). Because of all the updates made to the Act, the fines for
breaking it are now triple the initial amount, adjusted for inflation. It permits citizens to file suit
on behalf of the government. Those who successfully file qui tam lawsuits may be awarded a
percentage of the funds recovered by the government.
Legal Case
The hospital was accused of breaking the law by the claims against Sutter Health. Ex-risk
adjustment project manager made these claims. The 2015 complaint claimed that Sutter Health
