Understanding False Claims Act- Hypothetical Scenario

At Home is a home health company.  HHS regulations specify that At Home is only permitted to bill for patients if two conditions are satisfied. First, the patient has to be homebound. Second, the patient has to be certified by a physician to be homebound. The regulation expressly states that “both conditions are material conditions of payment, and no payment shall be made if either condition is not satisfied.” Notwithstanding these requirements, from the beginning of 2010 through the end of 2016, At Home routinely billed for patients who were homebound, but for whom At Home lacked a physician certification that the patients were homebound.  The claim forms that At Home submitted for these payments only required At Home to attest to the fact that the patient was homebound and said nothing about a physician certification. When it first started billing for home health services in 2010, At Home submitted a letter to HHS stating that since the attestation on the billing form did not reference the physician certification requirement, At Home assumed HHS did consider this requirement to be material and thus At Home was not complying with it.   At Home never received a response to this letter.  Nevertheless, in 2017, At Home became concerned about the fact that it was submitting claims for homebound patients without physician certifications, and stopped the practice.  It also notified HHS of its prior practice of submitting claims for homebound patients where a physician certification was lacking and paid HHS back for each such claim.     You are a renowned attorney who specializes in representing whistleblowers under the False Claims Act.  In January 2018, an employee of At Home, Ms. Lai Zee, contacts you to ask your advice on the following three questions: Whether At Home’s conduct between 2010 and 2016 violated any provision of the False Claims Act, and if so, why? If there has been a False Claims Act violation, whether At Home is liable for any damages, and if so, why? Whether there is any bar to Ms. Zee filing a qui tam action alleging a violation of the False Claims Act.   What advice do you give to Ms. Zee ?

Struggling to find relevant content? Order a custom essay on
Understanding False Claims Act- Hypothetical Scenario
Let our experts save you the hassle
Order Now
Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
Sign up, place your order, and leave the rest to our professional paper writers in less than 2 minutes.
step 1
Upload assignment instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
s
Get personalized services with GPA Fix
One writer for all your papers
You can select one writer for all your papers. This option enhances the consistency in the quality of your assignments. Select your preferred writer from the list of writers who have handledf your previous assignments
Same paper from different writers
Are you ordering the same assignment for a friend? You can get the same paper from different writers. The goal is to produce 100% unique and original papers
Copy of sources used
Our homework writers will provide you with copies of sources used on your request. Just add the option when plaing your order
What our partners say about us
We appreciate every review and are always looking for ways to grow. See what other students think about our do my paper service.
Nursing
Work is always perfectly done.
Customer 452707, January 11th, 2024
DISCUSSION D SCIENCE 210
GREAT
Customer 452813, June 28th, 2022
Nursing
Excellent as usual. Thank you!
Customer 452707, June 24th, 2023
Nursing
Words can't describe how helpful this service has been for me. Thank you!
Customer 452707, January 9th, 2023
Human Resources Management (HRM)
Thanks very much.
Customer 452701, July 26th, 2023
Nursing
Not all sources were " American sources" as directed
Customer 452615, September 16th, 2021
Other
I appreciate your work. Thank you????
Customer 452949, September 15th, 2023
Nursing
Writer did an excellent job! Thank you.
Customer 452693, January 14th, 2022
Human Resources Management (HRM)
Perfect
Customer 452701, August 15th, 2023
Other
GREAT
Customer 452813, June 25th, 2022
Nursing
Always pleased with the writers work.
Customer 452707, September 9th, 2023
Nursing
Thanks
Customer 452521, May 13th, 2021
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat

Good News ! We now help with PROCTORED EXAM. Chat with a support agent for more information