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Wisconsin Bell, Inc. v. United States ex rel. Todd Heath, No. 23-1127, ___ U.S. ___ (2025) The False Claims Act of 1863 (FCA) [ 1 ] is an American federal law that imposes liability on persons and companies (typically federal contractors) who defraud governmental programs. It is the federal government's primary litigation tool in combating ...
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 ...
The New Jersey Office of the State Comptroller (OSC) is an independent agency of the government of New Jersey created by an act of the state legislature in 2007 in order to make government more efficient, accountable and transparent. [ 1][ 2][ 3] The state comptroller is appointed by the governor of New Jersey, with the advice and consent of ...
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. File a complaint ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
Under federal law, health care fraud in the United States is defined, and made illegal, primarily by the health care fraud statute in 18 U.S.C. § 1347 states [4] (a) Whoever knowingly executes, or attempts to execute, a scheme or artifice—. (1) to defraud a financial institution; or. (2) to obtain, by means of false or fraudulent pretenses ...
The Senior Medicare Patrols (SMP) are a group of volunteer organizations funded by the United States Department of Health and Human Services, which educate U.S. senior citizens on how to prevent, detect, and report Medicare and Medicaid fraud, error, and abuse. From the program's start in 1997 through December 2019, SMP projects and staff have ...
The Anti-Kickback Statute (AKS) is an American federal law prohibiting financial payments or incentives for referring patients or generating federal healthcare business. The law, codified at 42 U.S. Code § 1320a–7b(b), [1] imposes criminal and, particularly in association with the federal False Claims Act, civil liability on those who knowingly and willfully offer, solicit, receive, or pay ...