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Essay / Research Paper Abstract
This 3 page paper begins with an introduction to the False Claims Act and the provisions that apply to Medicare and Medicaid fraud. The writer then discusses why fraud persists, reaching three conclusions. Bibliography lists 4 sources.
Page Count:
3 pages (~225 words per page)
File: MM12_PGmdfr.rtf
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Unformatted sample text from the term paper:
Whistleblower Center, 2005). The FCA is reputed to be the most effective whistleblower law in the U.S. (National Whistleblower Center, 2005). According to this law, private citizens or whistleblowers can
file a lawsuit "on behalf of the United States to recover damages incurred by the federal government as a result of contractor fraud or other false claims" (National Whistleblower Center,
2005). This is called the qui tam provision (National Whistleblower Center, 2005). If the government wins the case, the person who filed will be given a percentage of what the
government recovers (National Whistleblower Center, 2005). The second part protects whistleblowers from retribution from employers for informing on them (National Whistleblower Center, 2005). This is called the anti-retaliation provision (National
Whistleblower Center, 2005). The False Claims Act is a strong and clear law. The law expressly prohibits: * making a false record or statement to get a false or fraudulent
claim paid by the government (The False Claims Act Resource Center, 2005). * conspiring to have a false or fraudulent claim paid by the government (The False Claims Act Resource
Center, 2005). causing someone else to submit a false claim (The False Claims Act Resource Center, 2005). These are the provisions that are applicable to Medicare billing fraud. further legal
frameworks include the "Balanced Budget Act of 1997 and the Health Insurance Portability and Accountability Act in 1998" (Texas Legal Center, 2001), both of which attempted to strengthen the laws
against Medicare and Medicaid fraud (Texas Legal Center, 2001), The Medicare Integrity Program was subsequently created in cooperation with numerous agencies to prevent fraud (Texas Legal Center, 2001), In addition,
the Centers for Medicare & Medicaid Services publish and distribute documents and booklets to inform patients about detecting fraud and reporting suspected fraudulent acts (Texas Legal Center, 2001). The department
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