Source: http://www.annalsofhealthlaw.com/annalsofhealthlaw/vol_22_issue_1?pg=72
Timestamp: 2019-04-21 22:08:32+00:00

Document:
117. False Claims Act, 31 U.S. C. §§ 3729-3733 (2006).
118. See CHARLES DOYLE, QUI TAM: THE FALSE CLAIMS ACT AND RELATED FEDERAL STATUTES 5 (2009), available at http://www.fas.org/sgp/crs/misc/R40785.pdf.
119. The 1986 amendments lowered the standards for intent and burden of proof required to establish liability, enhanced whistleblower incentives, and increased damages and penalties. See, e.g., Rhoad, supra note 91, at 15.
120. See, e.g., id.; see also Dave Nadler, supra note 91. There is also a criminal False Claims Act, 18 U.S. C. § 287, with penalties including fines, imprisonment, or both.
Moreover, there is a Criminal Health Care Fraud Statute, 18 U.S. C. § 1347, which prohibits knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program; or to obtain (by means of false or fraudulent pretenses, representations, or promises) any of the money or property owned by, or under the custody or control of, any health care benefit program in connection with the delivery of or payment for health care benefits, items, or services. Proof of actual knowledge or specific intent to violate the law is not required. Penalties for violating the Criminal Health Care Fraud Statute may include fines, imprisonment, or both. It should also be noted that the OIG has authority under 42 U.S. C. § 1320 a- 7, to impose exclusions from participation in all Federal health care programs on health care providers and suppliers who have been convicted of Medicare fraud. See generally CTRS. FOR MEDICARE & MEDICAID SERVS., MEDICARE FRAUD & ABUSE: PREVENTION, DETECTION, AND REPORTING (2011), available at http://www.cms.gov/ Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads// Fraud_and_Abuse.pdf.
121. 31 U.S. C. § 3729(a).
122. 31 U.S. C. § 3729(b).
123. See 31 U.S. C. § 3729(a)( 1)( B).
124. Fraud Enforcement & Recovery Act of 2009, Pub. L. No. 111-21, 123 Stat. 1617.

References: § 287
 § 1347
 § 1320
 § 3729
 § 3729
 § 3729