The DOJ Intervenes in ‘Reverse False Claims Act’ Case

On June 27, 2014, the US Department of Justice (DOJ) intervened in a False Claims Act suit against Continuum Health Partners and the Mount Sinai Health System, alleging that the health system failed to return hundreds of thousands of dollars of overpayments to the government in a timely manner. This is one of the first “reverse False Claims Act” cases where the DOJ has filed a complaint-in-intervention claiming a health care provider violated 31 U.S.C. § 3729(a)(1)(G) of the False Claims Act based on the premise that the provider failed to return overpayments within the 60-day timeframe set forth in the Affordable Care Act (ACA).

* This article was originally published in Health Care Counsel. To read the full article, click here.