decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
False Claims Act / Oversight by national initiative working groups
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Article Overview
This piece covers a Justice Department memo describing how national health care fraud initiatives are to be developed, coordinated, and implemented through designated working groups. It is relevant to compliance, legal, audit, and health care fraud professionals who follow federal enforcement process and oversight. The article focuses on the roles of Justice Department components, coordination with other agencies, and the kinds of guidance and planning materials these groups prepare.
Why This Topic Matters
Understanding how national initiative working groups operate helps readers follow the federal enforcement structure behind health care fraud efforts and assess the oversight process for provider matters.
What You Will Learn
- How national health care fraud initiatives are organized for oversight and coordination
- Which Justice Department components participate in initiative working groups
- What kinds of planning and support materials initiative working groups prepare
- How coordination with other agencies and entities fits into the process
- Why individual provider matters are still handled on a case-by-case basis
Who Should Read This
- Health care compliance professionals
- Healthcare attorneys
- Medical billing and coding compliance teams
- Fraud and abuse auditors
- Provider leadership and administrators
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