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Supreme Court to rule on theory underlying many healthcare fraud suits
Modern Healthcare

A case now before the U.S. Supreme Court could mean fewer fraud lawsuits filed against healthcare providers. Or it could at least give them more clarity about what constitutes a violation of the law, experts say. The Supreme Court announced Friday it would hear Universal Health Services v. United States ex rel Escobar, a case that focuses on one theory whistle-blowers and the government use in bringing False Claims Act cases to court. The act makes it illegal to knowingly submit fraudulent bills to the government, such as for services not actually performed. In a variation of fraud claims, some whistle-blowers allege that providers submitted false claims by failing to follow certain regulations.