What is QUI TAM Law? Part 2: Defendants and Process

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Healthcare professionals facing qui tam lawsuits must understand the statutes that create liability and the process that follows when a claim is filed. These cases often begin with allegations of false claims, kickbacks, or improper self-referrals. Under the False Claims Act, plaintiffs must show that a false or fraudulent claim was knowingly submitted. The same applies to knowingly using false documentation or concealing information from the government to retain payments. Allegations can stem from billing errors, modifier misuse, upcoding, or failure to establish medical necessity—especially in areas like telemedicine or durable medical equipment. These allegations are filed under seal and reviewed by the U.S. Attorney, who may choose to intervene.

Defending against a qui tam begins before the complaint is unsealed. Government interest is often revealed through a civil investigative demand or investigative visits by federal agencies. Defendants must act quickly to retain counsel and prepare for the possibility of litigation. The defense strategy includes reviewing the records, challenging the relator’s motives, and disproving the alleged pattern of fraud. qui tam cases are complex and demand early intervention, strong documentation, and experienced legal counsel to protect you, your practice, and your career. If you're dealing with a qui tam violation, or want to do an internal audit to ensure compliance and potentially prevent a qui tam violation, contact Chapman Law Group today for a free consultation.



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🙋‍♂️ Ronald W. Chapman 👉 https://www.chapmanlawgroup.com/attor...
💎 Learn more about Qui Tam Law 👉 https://www.chapmanlawgroup.com/pract...



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_______ Key Moments _______
0:00 – Intro
0:16 – Part 1 Qui Tam Recap
1:14 – The False Claims Act
3:34 – Defense Against Qui Tam Allegations
6:42 – Outro



❗ LEGAL DISCLAIMER ❗:This is not legal advice advice. Everything described in this video is for informational purposes only and not for the purpose of providing anyone legal advice. You should contact our attorneys directly to obtain any and all legal advice with respect to your particular issue or problem. Nothing here should be construed to form an attorney-client relationship.



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