Wednesday, November 20, 2019

Medicaid Essay Example | Topics and Well Written Essays - 500 words

Medicaid - Essay Example These seven conditions didn’t apply to senior executive branch officials, members of Congress, members of the armed forces, or members of the judiciary. The complaint had to be sealed, served on the Government, not on the defendant, and be accompanied by a list of proof for the claim. However, amendments in 1986 significantly sharpened the focus to include protection for employees who filed claims, more compensation for whistleblowers, and more liability for those who were a part of the fraud process. There were even tighter restrictions added in 2009. Through this method, the government has been able to reclaim more than $22 billion from 1987 through 2008. There have been significant recoveries of tax money through the FCA with regards to selling unlicensed pharmaceuticals to Medicaid by big pharma companies. The burden for monitoring this rests with the individual states. In 2007, section 1909b of the Social Security Act requires the OIG (Office of Inspector General) to work with the Attorney General of the U.S. to meet certain requirements in an effort to eradicate Medicaid fraud; that State’s percentage of the Social Security funding depends on reporting and facilitating the location of fraud.

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