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虚假索赔执法的最新进展:医疗保健提供者的雷区。

Recent developments in false claims enforcement: a minefield for health care providers.

作者信息

Whitaker Glenn V, Walton Victor A

机构信息

Vorys, Sater, Seymour and Pease LLP.

出版信息

J Health Care Finance. 2007 Spring;33(3):17-21.

Abstract

Actions under the False Claims Act represent potentially billions of dollars in damages returned to the state and federal governments each year for fraud recovery. Over the past several years, health care providers have been the target of about half of the FCA suits filed and have paid out an even greater percentage of the damages recovered. Because of the enumerable opportunities for fraud, waste, and abuse in the health care industry, it will likely continue to be a prominent target of FCA suits. Key provisions of the Deficit Reduction Act of 2005, effective on January 1, 2007, will only increase the reach of the FCA. Providers beware.

摘要

根据《虚假索赔法》提起的诉讼每年可能会为州和联邦政府追回高达数十亿美元的欺诈赔偿金。在过去几年中,医疗保健提供者成为了约一半已提起的《虚假索赔法》诉讼的目标,并且支付了更高比例的追回赔偿金。由于医疗保健行业存在大量欺诈、浪费和滥用的机会,它可能会继续成为《虚假索赔法》诉讼的主要目标。2005年《减赤法案》的关键条款于2007年1月1日生效,这只会扩大《虚假索赔法》的适用范围。医疗服务提供者需谨慎。

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