Medicare Compliance & Reimbursement

False Claims Act:

CONTRACTORS DON'T HOLD THE BAG FOR PROVIDER FALSE CLAIMS

Whistleblowers can’t sic the False Claims Act on Medicare contractors simply for approving payments that a health care provider submitted fraudulently. So ruled the 11th U.S. Circuit Court of Appeals in the Jan. 28 decision U.S. ex rel Saralosa v. Aetna (No. 01-14291). The feds had put players involved in a scam perpetrated by now-defunct Florida home health agency St. [...]
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