Florida Health Care Project Fighting Health Care Fraud For Florida
Florida’s Medicaid program covers nearly 2.7 million low-income individuals, for whom the state spent about 16% of its general revenue funds during the 2011 state fiscal year
Most medical providers are honest and work hard to improve their patients’ health. However, a few want to illegally increase the size of their bank accounts. Learn some of the basic health care provider schemes and how to deter them from taking some easy money.
In addition to the Federal False Claims Act, there are twenty-nine states that have enacted false claims acts and at least two municipalities, New York and Chicago, have false claims laws. A false claims statute allows the whistleblower to bring the suit in the name of the government, even where the whistleblower is not personally injured. Where the suit is successful, the whistleblower is entitled to a bounty.
Whistleblowers bringing suit under False Claims Acts have enabled the government to recover more than $20 billion since 1986. These statutes generally provide for recovery of three times actual damages in addition to civil penalties for each false statement used to secure payment from the government.
In the United States and in Florida, there are laws protecting the rights of individuals to blow the whistle on wrongful conduct. Today, government regulatory bodies, including the United States Securities and Exchange Commission and the Internal Revenue Service, actually rely on information from whistleblowers to enforce compliance with laws and regulations.
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Employees, doctors, patients and families who suspect fruad in billing, medical care, prescriptions and medical facility operations often have questions about what conduct may rise to the level of fraud and what protections exist to protect those who “Blow the Whistle”. We have answers to the questions.