Qui-tam & False Claims Act
Enterprise fraud rarely stops at one facility
A single facility's billing or quality outlier rarely stands alone. ReadyRule resolves the common-control owner behind it from public ownership filings, then lays out the portfolio-wide pattern across the facilities that owner controls, each fact sourced to a primary filing. Relators get the enterprise picture in seconds, not weeks of manual record-pulling.
Enterprise-fraud pattern
Qui-tam and False Claims Act relators
A single facility's billing or quality outlier rarely stands alone. ReadyRule resolves the common-control owner behind it, then lays out the same pattern across the facilities that owner controls. The owner-level enforcement record sits alongside it: OIG exclusions (LEIE), OIG Corporate Integrity Agreements, and DOJ False Claims Act settlements. Each fact links to its public source, structured for the particularity a Rule 9(b) complaint requires: who, what, when, and where, across the portfolio.
The common-control links are ReadyRule's own inference from public filings, carried with a confidence indicator and meant to be verified independently. ReadyRule organizes the facts; your team draws the legal conclusions.
Track record
The pattern behind the public record
A single-facility tip becomes a multi-facility view in seconds, not days of manual record-pulling.
Skilled-nursing False Claims Act recoveries on the public record have repeatedly turned on enterprise-wide conduct: corporate policies that ran across the facilities in a chain, not one building in isolation. ReadyRule assembles that same cross-facility view from public records, so the shape of a portfolio is visible before a complaint is drafted.
False Claims Act recoveries reached a record $6.8 billion in fiscal year 2025, $5.7 billion of it from health care, on 1,297 qui-tam filings, the most ever. In April 2026 the Justice Department launched its FOCUS initiative, which prioritizes relators who mine public data and bring pre-filing diligence, analytical rigor, and legally sufficient allegations.
Public DOJ settlements resolving False Claims Act allegations
- Life Care Centers of America$145 millionDOJ, 2016
- Ensign Group$48 millionDOJ, 2013
- Saber Healthcare$10 millionDOJ, 2020
These are settled matters of public record, each linked to the Department of Justice announcement. ReadyRule organizes public compliance facts; it does not assess the merits of any matter or assign liability to any operator. Your team draws the legal conclusions.
The manual workup
Today the enterprise picture takes weeks, by hand
Connecting one facility's outlier to the owner behind it, then pulling every other facility that owner controls, is manual forensic work: state records one facility at a time, with no severity normalization to rank what matters, and corporate structure traced by hand. ReadyRule assembles the same workup in seconds.
The connection graph
Facilities that share an owner, ranked by harm
ReadyRule collapses noisy legal-entity names into beneficial-owner clusters, then joins each facility to its citation and penalty record, normalized for severity. The result is the operator's footprint as the public filings show it, and which facilities in it share a serious recent pattern. The connection between facilities is the part no single inspection report shows.
Coverage today is California skilled-nursing, where the ownership records run deepest. Other states and facility types follow the same graph as their data opens.
Ownership links are inferred from public ownership filings and may be incomplete; verify before relying. How ownership is determined.
How firms use it
Three ways to put the graph to work
Per-case dossier
When a case is in play, the full dossier: citation history, inspector narratives, staffing, state financials, and ownership chain. Billed to the matter, not carried as overhead. Structured for a partner to review, not a marketing handout.
Per-seat intake tool
For firms running intake at volume: type a facility on a prospective-client call and get the operator's portfolio and severity-ranked harm in seconds. It replaces the one-facility-at-a-time manual pull a paralegal does today.
Monitoring and alerts
On the roadmapWatch an operator's portfolio and get alerted on a new serious citation or an ownership change. Our records refresh monthly, so a one-time lookup becomes an ongoing feed.
Why not the alternatives
The pieces exist. Nobody packages the fusion.
vs ProPublica
ProPublica's nursing-home tool added an owner search in 2026, built for journalists. It stops at the licensee CMS reports on the federal file, so the shell one level up, the same owner under a different licensee in the next county or state, is the link it misses. It applies no severity normalization and produces no work product. ReadyRule resolves past the reported licensee, normalizes severity across the footprint, and traces each link to the public filing it comes from.
vs raw federal data
The federal ownership files have been public since 2023. They carry no severity ranking, no clustering, and no workflow.
vs post-signing case tools
Well-funded plaintiff AI tools build the case after the client signs, from the client's own records. ReadyRule sits upstream: it surfaces the operator's footprint and the severity-ranked harm across it before you commit, so whether a complaint is one case or a chain is visible at intake.
vs healthcare-fraud analytics
The healthcare-fraud analytics vendors, Optum, Cotiviti, Codoxo, and SAS, sell to payers, government, and provider defense. Serving relators is a direct conflict for them, so none joins CMS ownership, billing outliers, and enforcement history for the plaintiff side. ReadyRule does.
Also for elder-abuse attorneys
One walk-in grievance, the whole chain
Plaintiff-side elder-abuse attorneys use the same common-control graph to turn one intake call about a single facility into a chain-liability evaluation: every other facility that owner controls, severity-ranked by recent pattern of harm, in seconds. The deepest loaded data sits here, in California skilled-nursing.
Elder-abuse litigation discoveryExpanding verticals
The same engine, beyond healthcare
Common control is not specific to one industry. The same backbone that resolves which operator controls which care facilities is expanding to commercial trucking (FMCSA) and construction licensing (CSLB). Those verticals are in progress, not yet a coverage claim.
Free sample
See a redacted dossier
A redacted sample dossier for a representative California skilled-nursing operator is available on request. It shows the ownership cluster, the severity-ranked harm across the footprint, and the per-facility citation record, in the format a partner reviews.
Confidentiality
Your searches stay yours
The facilities you search and the case materials you bring are your confidential information. We never use them to serve another customer, and we never share your search activity with the operators you are investigating or their insurers. How we handle your data.