The healthcare sector is large and involves hundreds of purchases that relocate millions of dollars daily. According to the National Healthcare Anti-Fraud Association, an estimated $100 billion is lost to Medicare fraudulence every single year in the U.S., with ill-used police counting heavily on whistleblowers to bring Medicare whistleblower rewards Oberheiden and Medicaid fraudulence, waste, and abuse to their interest.
This is why the federal government depends so greatly on whistleblowers to reveal evidence of committing Medicare fraud, and that is why, under the qui tam stipulations, the federal regulations shields whistleblowers from revenge and gives such a rewarding financial reward to blow the whistle on believed fraud within the healthcare system.
For example, one nurse practitioner was convicted and punished to two decades in prison for defrauding the program of $192 million in a phantom payment system in which she fraudulently billed the program for, among other things, telemedicine sees that frequently amounted to greater than 1 day in a solitary day.
Due to the fact that it is so foreseeable for companies to retaliate against health care workers who blow the whistle on misconduct happening within the firm, whistleblower regulations restrict workplace retaliation and offer the victims of it lawful recourse if it takes place anyway.
Medicare is an $800 billion government program, yet price quotes are that 10s of billions, if not virtually $100 billion of that is shed to scams yearly - and that price quote is widely considered a conservative one. There are loads of ways to do an illegal reimbursement insurance claim and unlawfully line your pockets, along with the unidentified variety of manner ins which law enforcement authorities do not understand yet.