Alerts10.3.22

Future of Healthcare Fraud and Abuse Enforcement is Data-Driven, Feds Say

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Highlights

Data is driving how healthcare providers are monitored, investigated, and prosecuted, the DOJ and HHS-OIG say 

Developing robust compliance programs that emphasize complete, accurate, and timely reporting are given special consideration in settlement discussions

Consistent with the Monaco guidelines issued, individual accountability is highly prioritized by the current administration

Localized multi-agency strike forces are increasingly used to address issues at the jurisdictional level


U.S. Health and Human Services (HHS) Inspector General Christi Grimm and Assistant Attorney General Kenneth A. Polite, Jr. discussed trends and priorities in healthcare fraud enforcement at the recent American Health Law Association Fraud and Compliance Forum.

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