Health Information Management

DOJ recovers $5 billion in False Claims Act cases

HIM-HIPAA Insider, December 8, 2014

Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

The U.S. Department of Justice (DOJ) recovered a record-breaking $5.69 billion in False Claims Act settlements in fiscal year (FY) 2014, which ended September 30, 2014, according to a press release.

 
This marks the first FY that the DOJ recovered more than $5 billion in False Claims Act settlements. Total False Claims Act recoveries since January 2009 to the end of this FY are now up to $22.75 billion. That is more than half of the dollars recovered under the act since it was initiated 28 years ago to incentivize whistleblowers, according to the press release.
 
The DOJ recovered $2.3 billion for false claims made against federal healthcare programs and $3.1 billion from banks and financial institutions in FY 2014. These figures reflect federal losses, but the DOJ recovered additional billions of dollars from consumers and state treasuries. The DOJ recovered more than $2 billion in false claims suits against healthcare programs for five straight years, according to the press release.
 
The False Claims Act addresses false claims for government funds and property under government contracts. The act’s whistleblower provision states that individuals who file and win false claims lawsuits on behalf of the government receive up to 30% of the dollars recovered. More than 700 whistleblowers filed false claims suits in FY 2014. Recoveries under this provision in FY 2014 totaled $3 billion, with whistleblowers receiving $435 million, according to the press release.



Want to receive articles like this one in your inbox? Subscribe to HIM-HIPAA Insider!

    Briefings on APCs
  • Briefings on APCs

    Worried about the complexities of the new rules under OPPS and APCs? Briefings on APCs helps you understand the new rules...

  • HIM Briefings

    Guiding Health Information Management professionals through the continuously changing field of medical records and toward a...

  • Briefings on Coding Compliance Strategies

    Submitting improper Medicare documentation can lead to denial of fees, payback, fines, and increased diligence from payers...

  • Briefings on HIPAA

    How can you minimize the impact of HIPAA? Subscribe to Briefings on HIPAA, your health information management resource for...

  • APCs Insider

    This HTML-based e-mail newsletter provides weekly tips and advice on the new ambulatory payment classifications regulations...

Most Popular