One of the most common types of fraud in the US is Medicare Fraud. Medicare and Medicaid are the two largest healthcare plans sponsored by the US government. These programs allow more than 95 million American to enjoy free government benefits for their health. This is on top of the millions who receive coverage from other federal and state insurance plans. The US government spends more than $600 billion each year to cover the health insurance of Americans. Needless to say, the money used in these programs is derived from no one else but the federal and state taxpayers.
As it turns out, one of the major reasons for this high health care cost is the widespread fraud committed against these health care programs. Healthcare fraud constitutes violations of the Federal False Claim Act. Under the law, entities that knowingly submit false claims for payment of government funds are liable for damages and civil and federal false claims act penalties. Many of these fraudulent practices have been brought to light by qui tam whistleblowers. Qui tam has provisions under the False Claims Act. A private person who has knowledge and evidence of health care fraud against government programs are allowed to sue on behalf of the government.


May 20th, 2012
SheldonCooper

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