tci Medicare Compliance & Reimbursement - 2003 Issue 40

TRICARE: MEDICARE/MEDICAID CLAIMS AREN'T THE ONLY FCA TARGETS

Health care providers should keep in mind that Medicare and Medicaid aren't the only government payers for which billing snafus could get you saddled with hefty False Claims Act fines. TRICARE, the Department of Defense's health care program for military personnel has it own set of rules, and if you run afoul of them a whistleblower could put the feds on your trail. Case in point: McKinney, TX-based device manufacturer Orthofix Inc. agreed to pay more than $1.5 million to settle allegations that it submitted false claims to TRICARE, the Department of Justice reports. Filed by former Orthofix...

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