<![CDATA[
<body bgcolor="white">
<center>
<br>
<font size="5"><b>Health care fraud guide </b></font></center>
<p>Phillips & Cohen wrote <i>The Healthcare Provider’s Guide to Whistleblower Lawsuits and the False Claims Act</i> to help health care providers -- who face the potential of false claims liability every day -- as well as their employees better understand the False Claims Act and what happens before and after a whistleblower lawsuit is filed. </p>
<p>The monograph, published in 1997, was written at the request of Washington G-2 Reports, an independent publishing company that specializes in newsletters, reference manuals and other publications for the health care industry.</p>
<p>Below is the table of contents from <i>The Health Care Provider’s Guide to Whistleblower Lawsuits and the False Claims Act.</i> For more information, contact:</p>
<p><a href="http://www.washg2.com" target="_top">Washington G-2 Reports</a> <br>
1111 14<sup>th</sup> St NW, Suite 500<br>
Washington, DC 20005-5663<br>
Tel: 800/LAB-REGS (800/522-7347)<br>
Fax: 202/289-4062 </p>
<center>
<p><i><b>The Healthcare Provider’s Guide to Whistleblower Lawsuits and the False Claims Act </b></i></p>
<p><b>Contents</b></p>
</center>
<p>Chapter 1: The False Claims Act & the healthcare industry - - an overview<br>
Whistleblower lawsuits on the rise Health care industry targeted Enforcement initiatives escalate Whistleblower lawsuits spur other cases Criminal penalties for Medicare fraud A compliance program well-crafted </p>
<p>Chapter 2: The False Claims Act: from the Civil War to the Cold War<br>
The Civil War 1943 amendments to the act 1986 amendments to the act </p>
<p>Chapter 3: Healthcare providers liability under the False Claims Act<br>
Actions that create liability<br>
Typical violations by healthcare providers<br>
Matters excluded from false claims liability <br>
Matters already the subject of a civil proceeding<br>
Actions based upon matters publicly disclosed<br>
Liability for false claims against the states </p>
<p>Chapter 4: Qui Tam (whistleblower) provisions of the False Claims Act The role of the relator<br>
Shared recovery<br>
</p>
<p>Chapter 5: False Claims Act violations<br>
Elements of a cause of action<br>
Kickbacks or false certification may make claims "false"<br>
Statute of limitations<br>
</p>
<p>Chapter 6: Penalties and damages under the False Claims Act<br>
Attorneys' fees<br>
Criminal and administrative remedies<br>
</p>
<p>Chapter 7: Employment protection for whistleblowers</p>
<p>Chapter 8: The False Claims Act and other anti-fraud laws<br>
Other federal anti-fraud laws<br>
Alternative administrative remedies<br>
</p>
<p>Chapter 9: Avoiding or minimizing False Claims Act liability: corporate compliance programs<br>
Designing an effective compliance program<br>
Reduced penalties<br>
</p>
<p>Chapter 10: Voluntary disclosures of Medicare fraud<br>
Voluntary disclosure can reduce liability HHS' voluntary disclosure pilot program </p>
<p>Chapter 11: Anatomy of a False Claims Act case<br>
Procedures for filing a false claims (qui tam) lawsuit<br>
The government's decision to intervene<br>
Final resolution<br>
Terms of settlement<br>
The whistleblower's award<br>
</p>
<p>Chapter 12: The False Claims Act and the clinical lab industry<br>
National Health Laboratories Inc.<br>
MetPath, MetWest and Unilab<br>
Damon Clinical Laboratories Inc.<br>
Roche Biomedical Laboratories Inc. and National Health Laboratories Inc. (Laboratory Corp. of America Holdings)<br>
Spectra Laboratories Inc.<br>
SmithKline Beecham Clinical Laboratories Inc.<br>
Hospital outpatient laboratories </p>
<p>Appendices<br>
The federal False Claims Act<br>
State and District of Columbia false claims statutes<br>
Model compliance program for clinical laboratories, HHS Office of Inspector General<br>
Examples of actual health care fraud schemes<br>
Sample settlement agreement<br>
The PATH (Physicians at Teaching Hospitals) initiative, HHS Office of Inspector General, letter of explanation<br>
<br>
</p>
<p><br>
<br>
<br>
</p>
<center>
<p><font size="1">© 1998 Phillips and Cohen. All rights reserved<br>
<a href="cred_f.htm" target="_top">Credits</a></font></center>
</body>
]]>