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Lexis Nexis AHLA False Claims Act & The Health Care Industry: Counseling & Litigation (AHLA Members)
The Supreme Court decisions in SuperValu and Polansky have changed the false claims calculus. In this Fifth Edition of False Claims Act & the Health Care Industry, author Robert S. Salcido incorporates his insightful analysis of recent applications of the law.
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The new Fifth Edition of False Claims Act & the Health Care Industry is designed to help you assess potential False Claims Act (FCA) exposure and reform company practices. Robert S. Salcido’s sharp and well-referenced analysis of evolving false claims risks and requirements explains a changing calculus in the wake of SuperValu, Polansky, and other recent interpretations by courts and enforcers.
Robert S. Salcido incorporates his insightful analysis of recent applications of the law by federal district courts, circuit courts of appeal, the Supreme Court, and relevant federal agencies. From knowledge to materiality to causation, every aspect of a potential false claim allegation is addressed, with citation to authority out of every federal district.
Areas of evolving interpretation examined in this edition include:
- Defenses that the defendant’s claim is not "false"
- Defenses that the defendant did not "cause" the submission of a false claim
- Defenses that the defendant did not "know" that the claim or statement is false
- Defenses that the defendant’s false claims or statements are not “material”
- The status of actions where the relator repeats public information
- The circumstances under which relators may recover attorneys' fees
- The prospects for future challenges to the qui tam provisions' constitutionality
- And more
The ISBN for the 4th Edition was 9781663338426.
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Published June, 2024
Table of contents
Recent Titles from the American Health Law Association
Preface
About the Author
About the American Health Law Association
Scope
Dedication
Acknowledgements
Part 1 False Claims Act History
Chapter 1:00 Congressional Goals in Passing and Amending the Statute
Chapter 1:01 The 1863 Act and Its Immediate Aftermath
Chapter 1:02 The 1943 Act
Chapter 1:03 Case Law Developments Before the 1986 Amendments
Chapter 1:04 The 1986 Act
Chapter 1:05 The 2009 False Claims Act Amendments
Chapter 1:06 The 2010 Amendments to the False Claims Act
Part 2 Application of the False Claims Act Substantive Provisions
Chapter 2:00 Substantive Provisions of the False Claims Act: An Introduction
Chapter 2:01 The Meaning of "Person" Under the False Claims Act
Chapter 2:02 The Meaning of "Cause" to Present a False or Fraudulent Claim
Chapter 2:03 False or Fraudulent Under the FCA
Chapter 2:04 An FCA "Claim," "Record," or "Statement" and Presentment Under Subsections 3729(a)(1)(A) and (a)(1)(B)
Chapter 2:05 Knowledge Under the False Claims Act
Chapter 2:06 Materiality
Chapter 2:07 Conspiracy
Chapter 2:08 Reverse False Claims
Part 3 Civil Actions for False Claims
Chapter 3:00 Qui Tam Provisions: An Introduction
Chapter 3:01 Responsibilities of Attorney General—Section 3730(a)
Chapter 3:02 Actions by Private Parties—Section 3730(b)
Chapter 3:03 Rights of the Parties in Qui Tam Actions—Section 3730(c)
Chapter 3:04 Award to Qui Tam Plaintiff—Section 3730(d)
Chapter 3:05 Section 3730(e) Bars to Qui Tam Actions—Section 3730(e)
Chapter 3:06 Expenses and Fees for Which the Government Is Responsible
Chapter 3:07 Whistleblower Retaliation Provision—Section 3730(h)
Chapter 3:08 Discovery in Relator-Only Lawsuits
Chapter 3:09 Application of Fed. R. Civ. P. 9(b) to the False Claims Act
Part 4 Damages and Civil Penalties
Chapter 4:00 The Computation of Damages and Civil Penalties Under the FCA: An Introduction
Chapter 4:01 Pre-1986 Cases Regarding the Scope of Damages Under the FCA
Chapter 4:02 The 1986 Legislative Amendments
Chapter 4:03 FCA Damages: Principles and Proof
Chapter 4:04 Practice Areas Raising Damage Issues
Chapter 4:05 Civil Penalties
Chapter 4:06 Constitutional Limitations on Civil Penalties
Part 5 False Claims Act Procedure and Jurisdiction
Chapter 5:00 Introduction
Chapter 5:01 False Claims Procedure
Chapter 5:02 FCA Jurisdiction
Part 6 Civil Investigative Demands
Chapter 6:00 CIDs: An Introduction
Chapter 6:01 CIDs as Administrative Subpoena
Chapter 6:02 Compliance with the Terms of Section 3733
Chapter 6:03 Relevance and Undue Burden
Chapter 6:04 Bad Faith and Abuse of Process
Chapter 6:05 Responding to the CID
Part 7 The Voluntary Disclosure Program
Chapter 7:00 Submitting a Voluntary Disclosure: An Introduction
Chapter 7:01 The Operation of the Inspector General’s Voluntary Disclosure Program
Chapter 7:02 The Benefits and Risks Associated with Voluntary Disclosures
Chapter 7:03 Settling the Matter
Table of Cases
Index
