Institute: ONC | Component: 2 | Unit: 8 | Lecture: b | Slide: 18
Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Ethics and Professionalism
Lecture:Ethical and legal standards
Slide content:Funds Recovered Due to Whistleblowing in 2015 8.5 Chart: Health care fraud Of the $3.5 billion recovered, $1.9 billion was related to health care fraud Department of Justice, 2015 18
Slide notes:Under a federal law called the False Claims Act, citizens who have evidence of fraud against federal government contracts and programs can sue, on behalf of the government, in order to recover the stolen funds. In compensation for their risk and effort, the whistleblowers may be rewarded with a portion of the funds recovered, typically between fifteen and twenty-five percent. In fiscal year 2015, the federal government recovered $3.5 billion dollars from False Claims Act cases. Of the $3.5 billion dollars recovered, $1.9 billion dollars was related to health care fraud. Prominent examples of health care fraud are falsified claims for Medicare and Medicaid reimbursement. 18