Compliance & Regulatory第 88 / 100 题

A 'qui tam' provision under the False Claims Act allows:

a.Providers to appeal any denial
b.Patients to change their diagnosis
c.Payers to set fee schedules
d.A private individual (a whistleblower) to file suit on behalf of the government and potentially share in any recovery

解析

The qui tam provision lets a private person, often an employee who discovers fraud, bring a lawsuit on the government's behalf and receive a portion of amounts recovered. This encourages insiders to report false claims. The law also protects such whistleblowers from retaliation.

法律依据: False Claims Act

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