What are the risks if we do not answer the notice or complaint?
1. The government has set up very severe penalties for violating the False Claims Act. The penalties can be as high as $11,000 per single claim (a single claim is considered a one-time billing of one patient) plus treble damages and the assessment of attorneys fees.
2. If found guilty, the provider can be excluded from Medicare and Medicaid programs either temporarily or completely.
3. Cases are usually brought to the government by an employee of the accused company in the form of a 'Whistle blower" or "Qui Tam" lawsuit. Because they are employees of the company, they have the most knowledge of the company that is violating the False Claims Act.
4. It is against the law to fire someone you suspect to be the "Whistle Blower."
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