tci Medicare Compliance & Reimbursement - 2020 Issue Q1

Enforcement: Healthcare Fraud Recoveries Exceed $2 Billion in 2019

Hint: Expect healthcare to remain a primary target in 2020. Though the feds may be keen to streamline administrative burdens in the healthcare industry, that doesn’t mean they’re cutting back on enforcement. In fact, 2019 was a banner year for False Claims Act (FCA) recoveries — and evidence suggests the feds are ramping up for another record year in 2020. Background: For the fiscal year (FY) 2019, which ended last September, the Department of Justice (DOJ) reported more than $3 billion in settlements and judgments from civil suits related to false claims against the U.S. government...

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