On February 1, the U.S. Department of Justice (DOJ) announced the second-largest annual total recoveries in the history of the False Claims Act (FCA)—$5.6 billion—for FY 2021 (October 2020 – September 2021)...more
2/3/2022
/ Cybersecurity ,
Department of Justice (DOJ) ,
Enforcement Actions ,
False Billing ,
False Claims Act (FCA) ,
Federal Contractors ,
Fraud ,
Health Care Providers ,
Healthcare Fraud ,
Information Technology ,
Kickbacks ,
Medicare ,
Misrepresentation ,
Opioid ,
Qui Tam ,
Unnecessary Medical Procedures ,
Whistleblowers
The Department of Justice (DOJ) continues to concentrate on risk adjustment programs of payers with Medicare Advantage Organizations (MAO) as a prime enforcement target. One particular area of focus, both civilly and...more
6/14/2021
/ Audits ,
Best Practices ,
Continuing Legal Education ,
Department of Justice (DOJ) ,
Documentation ,
Enforcement Actions ,
Health Care Providers ,
Health Insurance ,
Medical Coding ,
Medicare ,
Medicare Advantage ,
Medicare Advantage Organizations (MAOs) ,
Physicians ,
Risk Adjustment Formula ,
Webinars