What are the five elements pertaining to the establishment of a false claim under the FCA?

1. What is the Qui tam provision in the federal FCA? How is this applicable? Cite an example.Stark laws prohibit physician referrals to entities in which the physician has a financial relationship. There are 10 specific designated health services (DHS) for which referrals by physicians who have financial relationships with the entity providing the DHS are prohibited. Discuss 3 examples of these.
2. Compliance programs in a healthcare organization are essential and mandatory. Why would they be especially critical as an internal control in the reimbursement and payment aspects of financial management? Give an example of the responsibility of training all staff in compliance.