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How is a “claim” defined under the False Claims Act (FCA)? The Supreme Court’s recent decision in Wisconsin Bell, Inc. v. U.S. ex rel. Heath has shed new light on a critical aspect of the False Claims Act (FCA)—what exactly constitutes a “claim.”

Any time the United States is paying for a particular item or service, chances are high that someone is devising ways to game the system and violate the False Claims Act (FCA). Certain industries and specialties are more prone to fraud and abuse than others. Our law firm, Barrett Johnston Martin & Garrison, PLLC, stays on top of the latest developments involving health care fraud and False Claims Act cases to represent whistleblowers in cases all over the country.

The Federal False Claims Act (FCA) is the oldest and arguably most developed whistleblower program in the United States. Building off the success of that law, Congress has enacted a number of other targeted whistleblower programs over the years to deal with specific industries and particular types of fraud. Examples include the SEC, IRS, and CFTC whistleblower programs, as well as a host of state-level statutes modeled off of the federal FCA.

Can one be found guilty of committing health care fraud if they didn’t intend to do so? The landscape of proving intent in kickback-based false claims act cases is murky and developing. As national leaders in health care fraud enforcement, our law firm, Barrett Johnston Martin & Garrison, PLLC, stays on top of the latest developments involving health care fraud and False Claims Act cases to represent whistleblowers in cases all over the country.

More than $2.6 billion recovered in 2023 under the False Claims Act:  Based on recent data from the U.S. Department of Justice, 2023 was another solid year for recovering public funds under the federal False Claims Act (“FCA”).  According to a a recent press release, FCA settlements and judgments this past year exceeded $2.68 billion, the vast majority of which

The Growing Problem of Scammers Targeting Medicare Beneficiaries Scammers targeting American seniors is hardly a new phenomenon.  Recent alerts from the Department of Justice and statements during recent Congressional testimony suggest that the problem has dramatically expanded in recent years.  And the primary target now appears to be Medicare, rather than those seniors themselves. Early

Whistleblowers Seeking Anonymity by Forming an LLC For individuals seeking to blow the whistle on fraud against the United States, one of the most common concerns is how filing a qui tam may damage their reputations or career prospects going forward.  In the short term, the False Claims Act itself provides protection.  Unlike almost all

The False Claims Act is a useful, but imperfect tool for combatting COVID fraud – During the Coronavirus pandemic, the United States paid out more than a trillion dollars in aid to the American public, ranging from unemployment assistance, to extra payments to hospitals and other healthcare providers, to small business loans under the Paycheck