Impact of state False Claims Acts

Denise Atwood (deniseatwoodpllc@gmail.com) is owner of Denise Atwood, PLLC in Gilbert, AZ.

Seasoned compliance professionals in healthcare are typically very familiar with the federal False Claims Act (FCA),[1] which prohibits healthcare providers from submitting claims for payment to the federal government that are false or fraudulent. Compliance professionals are also familiar with the civil monetary and criminal penalties under the FCA.[2] However, compliance professionals may be less familiar with state false claims acts that impact healthcare compliance activities in those states. It is important to establish both a compliance program and training that addresses both federal and state FCA requirements, as applicable. This article evaluates the impact of state FCA enforcement, in addition to federal FCA enforcement actions.

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