On August 17, 2018, the Centers for Medicare and Medicaid Services (CMS) announced that it is adding a sub-section (3.2) into Chapter 3 of its Medicare Program Integrity Manual (MPIM, Publication 100-08) entitled “Verifying Potential Errors and Taking Corrective Actions,” The new section references Medicare’s Targeted Probe and Educate (TPE) Program, first initiated as

Qui Tam lawsuits are what we also refer to as whistleblower suits, whereby a private individual assists the government with the prosecution of illegal activities and can receive all or part of any penalty imposed.

In healthcare, these usually involve False Claims Act (FCA) allegations directly against a provider. But the provider is not always