Doing More With Less: Despite Sequestration Cuts to Funding DOJ/HHS Enforcement Flourishes

Like providers, even government enforcement entities have faced budget cuts. But it doesn’t seem to have slowed down enforcement efforts. In 2014, funding for the Health Care Fraud and Abuse Control … [Read more...]

Health Care Stakeholders Advise FTC/DOJ on Payer Networks, ACOs, and Anti-Trust Concerns

As we reported in our last issue, the Federal Trade Commission (FTC) is concerned about the effects of health care reform on competition. The FTC and Department of Justice (DOJ) held a joint workshop … [Read more...]

FTC Gets Ready to Flex Enforcement Muscle Regarding Healthcare Integration

With all the talk about using accountable care organizations (ACOs) and other ventures to integrate and coordinate health care services, reduce costs, increase efficiency, and move from volume to … [Read more...]

CMS Seeks to Ease Meaningful Use Reporting Burdens

CMS announced it will be looking to ease the reporting burdens for participants in the meaningful use incentive programs beginning this year with a proposed rule change in the spring. CMS indicates … [Read more...]

Government Recovers $20 for Every Dollar Spent on Health Care FCA Cases

The federal government gets $20 back for every dollar invested in False Claims Act (FCA) health care fraud cases, a higher rate than indicated by the Department of Justice’s reporting on FCA … [Read more...]

Justice Department Sets Record in Fraud Recoveries

The Department of Justice (DOJ) received $3.8 billion in settlements and judgments from civil cases involving fraud against the government in the fiscal year ending Sept. 30, 2013, according to … [Read more...]

Kentucky Physicians, Lab to Pay $15.75 Million To Settle FCA Charges

Owners of 12 opiate addiction treatment centers and a clinical laboratory in Kentucky will repay the government $15.75 million to resolve False Claims Act allegations. Drs. Bryan Wood and Robin … [Read more...]

Government Collects $2.3 Billion From Health Care FCA Cases

The federal government collected $2.3 billion in fiscal year 2014 from health care-related False Claims Act (FCA) actions, the Department of Justice (DOJ) announced Nov. 20. Health care recoveries … [Read more...]

Enforcement Trends — Labs Continue to Be a Focus

Laboratories continue to draw attention from the Department of Justice (DOJ) and the Office of Inspector General (OIG) as 2014 came to a close. In December, the DOJ announced two guilty pleas and one … [Read more...]