Fraud and Qui Tam Cases
According to the Department of Justice (DOJ), over $3 billion has been recovered in qui tam lawsuits since 1986. More than half of those recoveries have involved healthcare fraud.
Types of Fraud
There are several types of qui tam cases that can be filed. These include:
- Mischarging - false claim for products or services that were not delivered or rendered.
- Product and service substitution - certifying a product that does not meet specifications or submitting one product to the government for approval, then substituting it with a product of inferior quality.
- False negotiation or defective pricing - submitting false pricing and cost data to the government, which results in an inflated contract price.
- False certification of entitlement for benefits - false certification of information for price supports or mortgage guarantees, etc.
Although more than half of all qui tam recoveries have involved healthcare fraud, successful qui tam lawsuits have been filed against defense contractors and other companies that work with government agencies such as NASA and Health and Human Services (HHS).