Banner Health Compliance Training

Applicable Legal Requirements - Federal False Claims Act The Federal False Claims Act is violated when a person “knowingly” makes, uses, or causes to be made or used, a false record or statement to get a false or fraudulent claim paid or approved by the Federal government. The term “knowingly” may be defined as when a person: ● Has actual knowledge of the falsity of the information

● Acts in deliberate ignorance of the truth or falsity of the information ● Acts in reckless disregard of the truth or falsity of the information

The Federal False Claims Act covers fraud involving any federally funded contract or program, such as Medicare or Medicaid, with the exception of tax fraud. A “ claim ” includes any request or demand for money (such as a bill for medical services) that is submitted to the U.S. government or its contractors.