Final answer:
True, the Federal False Claims Act is the primary basis for prosecuting health care fraud and abuse, targeting false or fraudulent claims made to federal health care programs. It includes penalties and a qui tam provision for whistleblowers, and health care providers are obliged to follow compliance protocols to avoid legal repercussions.
Step-by-step explanation:
True, the basis for prosecuting health care fraud and abuse often relies on the Federal False Claims Act (FCA). This act is a critical tool used to combat fraud against the federal government, including fraud in health care programs such as Medicare and Medicaid. Under the FCA, it is illegal to submit claims for payment to Medicare or Medicaid that you know or should know are false or fraudulent
Enforcement actions under the False Claims Act include civil penalties and multiple damages, and individuals or entities found guilty can face significant fines. The act also includes a qui tam provision, which allows whistleblowers (also known as relators) to sue on behalf of the government and be eligible to receive a portion of any recovered funds
Health care providers must ensure compliance with FCA regulations by establishing internal controls and conducting regular audits to detect and prevent fraudulent activities within their practices. Non-compliance can lead to serious legal consequences, financial penalties, and damage to reputation.
The basis for prosecuting healthcare fraud and abuse is not the Federal False compliance act. The primary law that governs prosecuting healthcare fraud and abuse in the United States is the False Claims Act (FCA).
The FCA imposes liability on individuals and companies that submit false claims for payment to the government. It allows the government to recover damages and impose penalties for fraudulent actions.