If anyone really loves the Combines States medical care system, then it's the surgeries, pharmaceutical companies, contractors and physicians that fleece the government out of somewhere between 60 to a hundred bn. dollars each and every year.
Medical Insurance Crime - Fake Claims
Sadly it is not just criminals who defraud the govt and commit health care crime. On the contrary, hospitals, doctors and even pharmaceutical firms will also attempt to cheat the system. There are lots of examples of infirmaries that are billing for the services of doctors who are not even alive!
The types of people who commit these crimes are varied, from the most lofty levels of infirmary directors to one man doctors ' offices. These folks can be particularly clever in the way that they operate. In reality to avoid awakening any type of suspicion, they may set up complicated billing structures and attempt to cover their tracks. This will make it very troublesome for medical care fraud investigators to chase a line of enquiry.
Qui Tam Law and Whistleblowers
The Govt. does have one ace up its sleeve and that is to bring in the qui tam law. This is a shortened Latin phrase which fully extended is 'qui tam pro domino rege quam poetry ipso in hac parte sequitir'.
Quite literally translated it says "he who sues in the name of the king, does so also for himself'. In simple language what this equates to is if a person reported a case of crime against the governing body, then that person would be entitled to have a chunk of the rewards. Thus the govt. is in effect giving powerful motivations for whistleblowers to report any health care crime or health insurance crime. If you have any info related to health care crime you must actually contact an experienced attorney to find out if you can help stop it, and if you can collect a financial reward for doing the honest thing.
Medical Insurance Crime - Fake Claims
Sadly it is not just criminals who defraud the govt and commit health care crime. On the contrary, hospitals, doctors and even pharmaceutical firms will also attempt to cheat the system. There are lots of examples of infirmaries that are billing for the services of doctors who are not even alive!
The types of people who commit these crimes are varied, from the most lofty levels of infirmary directors to one man doctors ' offices. These folks can be particularly clever in the way that they operate. In reality to avoid awakening any type of suspicion, they may set up complicated billing structures and attempt to cover their tracks. This will make it very troublesome for medical care fraud investigators to chase a line of enquiry.
Qui Tam Law and Whistleblowers
The Govt. does have one ace up its sleeve and that is to bring in the qui tam law. This is a shortened Latin phrase which fully extended is 'qui tam pro domino rege quam poetry ipso in hac parte sequitir'.
Quite literally translated it says "he who sues in the name of the king, does so also for himself'. In simple language what this equates to is if a person reported a case of crime against the governing body, then that person would be entitled to have a chunk of the rewards. Thus the govt. is in effect giving powerful motivations for whistleblowers to report any health care crime or health insurance crime. If you have any info related to health care crime you must actually contact an experienced attorney to find out if you can help stop it, and if you can collect a financial reward for doing the honest thing.
About the Author:
How sure are you that healthcare fraud and Medicaid fraud don't exist? Read on the essay of Ilaine Wardlow hospices and pharmaceutical company's fraud.
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