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Home » US Law » 2022 Revised Code of Washington » Title 48 - Insurance » Chapters » Chapter 48.80 - Health Care False Claim Act.

48.80.010 – Legislative finding—Short title.

RCW 48.80.010 Legislative finding—Short title. The legislature finds and declares that the welfare of the citizens of this state is threatened by the spiraling increases in the cost of health care. It is further recognized that fraudulent health care claims contribute to these increases in health care costs. In recognition of these findings, it is […]

48.80.020 – Definitions.

RCW 48.80.020 Definitions. Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter. (1) “Claim” means any attempt to cause a health care payer to make a health care payment. (2) “Deceptive” means presenting a claim to a health care payer that contains a statement of fact or fails to […]

48.80.030 – Making false claims, concealing information—Penalty—Exclusions.

RCW 48.80.030 Making false claims, concealing information—Penalty—Exclusions. (1) A person shall not make or present or cause to be made or presented to a health care payer a claim for a health care payment knowing the claim to be false. (2) No person shall knowingly present to a health care payer a claim for a […]

48.80.040 – Use of circumstantial evidence.

RCW 48.80.040 Use of circumstantial evidence. In a prosecution under this chapter, circumstantial evidence may be presented to demonstrate that a false statement or claim was knowingly made. Such evidence may include but shall not be limited to the following circumstances: (1) Where a claim for a health care payment is submitted with the person’s […]

48.80.050 – Civil action not limited.

RCW 48.80.050 Civil action not limited. This chapter shall not be construed to prohibit or limit a prosecution of or civil action against a person for the violation of any other law of this state. [ 1986 c 243 § 5.]