The health care market is large and involves thousands of purchases that move countless dollars daily. According to the National Healthcare Anti-Fraud Association, an estimated $100 billion is shed to Medicare fraud every single year in the U.S., with overtaxed law enforcement agencies relying greatly on whistleblowers to bring Medicare and Medicaid scams, waste, and misuse to their attention.
This is why the federal government counts so greatly on whistleblowers to discover evidence of dedicating Medicare whistleblower rewards Oberheiden fraudulence, which is why, under the qui tam arrangements, the federal legislation secures whistleblowers from retaliation and gives such a lucrative financial reward to blow the whistle on presumed scams within the health care system.
As an example, one nurse professional was founded guilty and sentenced to twenty years behind bars for defrauding the program of $192 million in a phantom invoicing plan in which she fraudulently billed the program for, among other points, telemedicine gos to that frequently totaled more than 24 hr in a single day.
Because it is so foreseeable for companies to retaliate versus medical care employees who blow the whistle on transgression happening within the firm, whistleblower regulations restrict workplace retaliation and give the sufferers of it legal recourse if it takes place anyhow.
Medicare is an $800 billion government program, but estimates are that 10s of billions, if not almost $100 billion of that is shed to scams yearly - which estimate is commonly considered as a traditional one. There are loads of methods to do a fraudulent compensation case and unlawfully line your pockets, along with the unknown variety of manner ins which law enforcement officials do not know yet.