Peterson v. Mathews

How later courts describe this case

• holding that the knowing submission of Medicare claims for services that were not covered and payable under the Medicare Act was an FCA violation
• imposing less than full civil sanction authorized by False Claims Act when the full sanction would be unreasonable and not remotely related to actual loss
• allowing reduction of civil penalty to reflect a "fair ratio to damages to insure that the government completely recoups its losses"
• false Medicare claims sent to Blue Cross/ Blue Shield of Texas gave rise to liability under the False Claims Act
• one who acts as Medicare agent for HEW is cloaked in HEW’s governmental immunity
• reducing applicable penalty under the False Claims Act