United States Ex Rel. Riley v. St. Luke's Episcopal Hospital

DUHE, Circuit Judge:

Plaintiff Joyce Riley, a former nurse at St. Luke’s Episcopal Hospital, sued Defendants under the qui tam provisions of the False Claims Act (“FCA”), 31 U.S.C. §§ 3729 & 3730(b). The district court dismissed the complaint under Rule 12(b)(6) for failure to state a claim. We hold that dismissal was inappropriate at this stage of the litigation and accordingly reverse and remand for further proceedings.

I. BACKGROUND

Riley alleges that Defendants filed false claims with Medicare and the Civil Health and Medical Program of the Uniformed Services (CHAMPUS) for services that were…