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... government (Murphy, 2001). When the government suspects healthcare fraud, it can bring charges under a variety of statutes. Providers who falsify claim reimbursements are generally subject to prosecution under two statutes: the False Claims Act and the False Statements Act. Further, since most Medicare and Medicaid fraud is camouflaged within legitimate business contracts between providers, insurance companies, and the Federal Government; the Federal Mail Fraud and Wire Fraud statutes can provide additional prosecutorial options (Kleiner & Philip, 1999). False Statements HCA pled guilty previously to defrauding government health care programs, but just how did they arrive at that point? What stumbling blocks did they trip over to fall? The company submitted false statements to a federal agency by filing claims and paying kickbacks to doctors so they would refer Medicare and Medicaid patients to its facilities (Miller, 2002). The whistleblowers advised investigators that the hospital chain was defrauding Medicaid in three ...