DRA (Deficit Reduction Act) Compliance
Of the half-trillion dollars the federal government will spend on medical care this year, $50 billion will be spent on fraudulent claims under programs such as Medicaid. In an effort to reduce Medicaid fraud, Congress included a provision in the Deficit Reduction Act of 2005 (DRA) requiring organizations that receive $5 million or more in Medicaid reimbursements to inform their employees of the federal False Claims Act (FCA) and whistleblower-protection laws, as well as similar state laws.
Dating back to the Civil War Era, the FCA penalizes organizations that submit false claims for government funds. It provides significant financial incentives for employees to make a report - that is, to "blow the whistle" - if they believe that their employer has engaged in fraud.
Program Summary
This program is intended to explain to employees when, how and why to use the whistleblowing provisions of the FCA as part of complying with the DRA. The topics covered in the program include:
- Healthcare Fraud
- DRA section 6032
- False Claims Act
- Qui Tam
- Administrative remedies
- How to Blow the Whistle
- Whistleblower Protection
- Reporting Misconduct
- Good Faith Requirements
- Unlawful Retaliation
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Download Program Summary
