Recent developments in false claims enforcement: a minefield for health care providers.
Actions under the False Claims Act represent potentially billions of dollars in damages returned to the state and federal governments each year for fraud recovery. Over the past several years, health care providers have been the target of about half of the FCA suits filed and have paid out an even greater percentage of the damages recovered. Because of the enumerable opportunities for fraud, waste, and abuse in the health care industry, it will likely continue to be a prominent target of FCA suits. Key provisions of the Deficit Reduction Act of 2005, effective on January 1, 2007, will only increase the reach of the FCA. Providers beware.
Whitaker
Glenn V
GV
Vorys, Sater, Seymour and Pease LLP.
Walton
Victor A
VA
D035082:Federal Government; D005375:Financial Audit; D005607:Fraud / Q000191:economics / Q000331:legislation & jurisprudence*; D019981:Health Care Sector / Q000331:legislation & jurisprudence*; D006300:Health Services Misuse / Q000191:economics / Q000331:legislation & jurisprudence*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000331:legislation & jurisprudence; D035846:Law Enforcement; D016365:Liability, Legal / Q000191:economics; D008484:Medicaid / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D013219:State Government; D013995:Time; D014481:United States; D035642:Whistleblowing / Q000331:legislation & jurisprudence