Qui tam actions allow an individual to bring forward a claim to whom?

Study for the HCCA Certified in Healthcare Compliance (CHC) Exam. Practice with interactive questions and detailed explanations. Get ready to excel in your field!

The correct answer identifies that qui tam actions enable an individual to bring a claim to the government based on their original knowledge of fraud against the government. Qui tam provisions are part of the federal False Claims Act and allow whistleblowers, known as relators, to file lawsuits on behalf of the government when they have evidence that someone is submitting false claims for payment.

The process typically involves the individual filing a complaint in federal court under seal, meaning it is kept confidential while the government investigates the allegations. If the government decides to intervene and pursue the case, the whistleblower may receive a percentage of any recovered funds. This procedure encourages individuals with knowledge of fraud to come forward while protecting their right to compensation, thus directly supporting the enforcement of anti-fraud laws and maintaining the integrity of federal programs.

Other options may involve various avenues for raising issues or concerns, but they do not align with the specific legal framework and intent of qui tam actions, which are structured to empower individuals to act in the interest of the government in investigating and remedying fraud.

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