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Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...
Call Medicare at 1-800-MEDICARE or the U.S. Health and Human Service’s fraud hotline (800-447-8477). Report identity theft to the Federal Trade Commission at identitytheft.gov .
In the United States, other than in the military departments, the first Office of Inspector General was established by act of Congress in 1976 [1] under the Department of Health and Human Services to eliminate waste, fraud, and abuse in Medicare, Medicaid, and more than 100 other departmental programs. [2]
Stolen IDs, electronic billing and the growth of telemedicine have caused Medicare fraud to spike and spread, with South Florida accounting for more than half of all criminal cases in U.S.
The FBI estimates that Health Care Fraud costs American tax payers $80 billion a year. [2] Of this amount $2.5 billion was recovered through False Claims Act cases in FY 2010. Most of these cases were filed under qui tam provisions. Over the course of FY 2010, whistleblowers were paid a total of $307,620,401.00 for their part in bringing the ...
Whistleblowers are protected from retaliation for disclosing information that the employee or applicant reasonably believes provides evidence of a violation of any law, rule, regulation, gross mismanagement, gross waste of funds, an abuse of authority, or a substantial and specific danger to public health or safety. [1]
The Department of Health and Human Services’ Office of Inspector General, or HHS-OIG, investigates fraud, waste and abuse in federal health care programs, including Medicare. 5 ways to protect ...