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qui tam诉讼:起诉提出虚假索赔的医生。

Qui tam: suing physicians who make false claims.

作者信息

Hsia D C

机构信息

U.S. Department of Health and Human Services, Office of Inspector General, Washington, DC.

出版信息

Ann Intern Med. 1991 Jun 15;114(12):1050-3. doi: 10.7326/0003-4819-114-12-1050.

Abstract

The 1986 False Claims Act Amendments authorize private citizens to sue on behalf of the U.S. government to recover federal funds from fraudulent recipients. The "relator" receives a share of any proceeds from a successful lawsuit. Originally enacted because of defense procurement scandals, this statute also applies to federal payments for health care (for example, Medicare, Medicaid, Civilian Health and Medical Program for Uniformed Services payments; veterans benefits; and research grants). Physicians can expect qui tam litigation to increase in the future.

摘要

1986年《虚假索赔法修正案》授权公民代表美国政府提起诉讼,以从欺诈性受款人处追回联邦资金。“告发人”可从成功诉讼的任何收益中获得一定份额。该法规最初因国防采购丑闻而颁布,如今也适用于联邦医疗保健支付(例如,医疗保险、医疗补助、军人医疗和医疗计划支付;退伍军人福利;以及研究补助金)。医生们可以预期qui tam诉讼在未来会增加。

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