Qui Tam | Personal Injury Blog
Qui Tam Procedures: A Guide for Potential Plaintiffs
Imagine that an employee of a healthcare company discovers that it is overbilling Medicare. Acting as a whistleblower, the employee can file a qui tam lawsuit against the company on behalf of the government. Qui tam procedures serve a vital function in society by incentivizing individuals to expose wrongdoing and recover ill-gotten gains, thus safeguarding public resources.
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Blowing the Whistle on Medicaid Fraud Can Save Lives!
Medicaid is a massive government program that provides coverage to millions of low-income and vulnerable patients every year. With any program so large, however, unscrupulous companies take their chances at filing overinflated or blatantly false bills.
An egregious example of this was Kool Smiles, a national children’s dental chain. According to the U.S. Justice Department, Kool Smiles was performing unnecessary procedures—tooth extractions, root canals, or pretend root canals—on their young patients and billing Medicaid. In all, the chain was found to have submitted false claims in 17 states, and ordered to pay back $24 million.
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What You Need to Know About Qui Tam Lawsuits
Let’s face it: legal matters can be difficult to understand. Latin phrases, like “qui tam,” only add another layer of complexity and keep people from understanding the legal system created to serve them.
But we’re going to demystify part of it today.
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