tci Medicare Compliance & Reimbursement - 2003 Issue 24

Enforcement : AN EVEN TOUGHER WHISTLEBLOWER LAW?

A move is afoot to up the stakes yet again in the ongoing campaign against health care fraud. The target: providers who play fast and loose with the Medicaid program. While the feds collected over $1.3 billion in health-care fraud recoveries in fiscal year 2001, a mere $43 million came from Medicaid cases, according to a new report sponsored by Taxpayers Against Fraud. In other words, collections from fraudulent Medicare providers or contractors were over 20 times the amounts recovered from their Medicaid counterparts, says the report, titled "Reducing Medicaid Fraud: The Potential of the False Claims Act...

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