Medicare fraud occurs when an unauthorized Medicare health care reimbursement claim is submitted. There are numerous varieties of Medicare fraud, all of which have the same objective: illegally obtaining Medicare funds.
National Accounts Since 2017, when The Hesch Firm, L.L.C. proclaimed it, Long Term Acute Care Hospital Fraud Day has been observed on October 2. This holiday raises public awareness of the scope of Medicare fraud and provides specific guidelines for reporting Long-Term Care Fraud (L.T.C.H. fraud). Considering that approximately 10% of the Medicare budget is lost to L.T.C.H. fraud, it is necessary for all of us to be aware of and combat this crime.
Medicare fraud occurs when an unauthorized Medicare health care reimbursement claim is submitted. There are numerous varieties of Medicare fraud, all of which have the same objective: illegally obtaining Medicare funds.
According to the Office of Management and Budget, Medicare “improper payments” for evaluation and management totaled $6.7 billion in 2010. In 2006, healthcare entrepreneur Adam Resnick filed a False Claims Act lawsuit against Omnicare, a significant supplier of nursing home medications, and others involved in the company’s illegal kickback operations. In November 2009, Omnicare agreed to pay the federal government $98 million to resolve five ‘qui tam’ (whistleblower) cases under the False Claims Act.
National Accounts The Hesch Firm, L.L.C., founded by Joel D. Hesch, a former member of the Department of Justice’s whistleblower reward office, established Long Term Acute Care Hospital Fraud Day in 2017. Hesch assisted the government in recovering $1.5 billion from Medicare fraudsters and was instrumental in the government awarding hundreds of millions of dollars to whistleblowers as rewards. After fifteen years as a government attorney, he began assisting fraud whistleblowers in filing their cases. On behalf of whistleblowers across the nation, he eventually founded The Hesch Firm, L.L.C., which exclusively files reports of government fraud, such as L.T.C.H. fraud.
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The National Health Care Anti-misconduct Association estimates that healthcare misconduct costs the United States approximately $68 billion annually.
The Michigan False Claims Act punishes healthcare misconduct by criminal penalties.
The government rewards healthcare industry whistleblowers.
According to the 2018 National Money Laundering Risk Assessment, the leading source of illicit revenue in the United States is healthcare fraud.
Most Medicare fraud is committed by healthcare provider corporations.
| Year | Date | Day |
|---|---|---|
| 2023 | October 2 | Monday |
| 2024 | October 2 | Wednesday |
| 2025 | October 2 | Thursday |
| 2026 | October 2 | Friday |
| 2027 | October 2 | Saturday |
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