Berg & Androphy

Trial Lawyers Prosecuting Qui Tam Cases

Types of Healthcare Qui Tam Cases

Fraud and abuse accounts for almost ten percent of total Government spending on healthcare, or approximately $120 billion per year. The potential harm caused by fraud in the healthcare industry cannot be overstated: total spending on healthcare for 2002 alone reached $1.5 trillion. Below are the types of qui tam cases often pursued in the area of healthcare fraud.

• Fraudulent Billing Qui Tam Cases
  • Treatment Issues
  • Misrepresentation of Credentials
  • Upcoding or Improper Coding of Goods and Services
  • Bundling and Unbundling Procedures
  • Misrepresentation of Patient Date – Populations
• Anti-Kick Back Qui Tam Cases
• Self-Referral Qui Tam Cases
• Best Price Qui Tam Cases Best Value Qui Tam Cases
• Off-Label Marketing Qui Tam Cases

For more information and case citations, please see “Federal False Claims Act and Qui Tam Litigation,” published by Law Journal Press (2006).

For more information, email quitam@bafirm.com.


Notice

This website is designed to provide general information only. This information is not and should not be construed to be legal advice. The transmission of the information found on this website also does not result in the formation of a lawyer-client relationship.

You should be aware that qui tam claims are subject to a Statute of Limitations. The area of limitations periods is complex. There are also first to file rules, public disclosure bars, original source issues, and varying limitations in pursuing retaliation claims. If you wish to pursue your claims, you should promptly seek the opinion of an attorney regarding the merits of your qui tam claim and the applicable statute of limitations.