August 01, 2017

The Effect of Ambiguity on Scienter Under the False Claims Act

Norman G. Tabler, Jr., Faegre Baker Daniels LLP, Indianapolis, IN

The False Claims Act (FCA) contains a scienter requirement: it prohibits only false claims that are “knowingly” made. What if a Medicare claim violates a Medicare regulation that is ambiguous? Does the ambiguity defeat the scienter requirement of the FCA and provide a defense in a qui tam action?

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