Stay sharp: Feds’ health care enforcement is shifting — and expanding

Why This Topic Matters

Health care organizations may face broader and more creative fraud investigations, along with increased scrutiny of compliance program effectiveness and use of pandemic-related funds. Understanding these shifts can help practices assess compliance readiness and focus monitoring efforts.

Article Sections

1. Compliance

   Introduces the article’s focus on enforcement trends and the need to review compliance programs in light of shifting government priorities.

2. New ways to fight fraud

   Discusses the expansion of enforcement tools and the general types of cases and laws being used in health care fraud investigations.

3. Increased compliance plan monitoring

   Summarizes the government’s emphasis on assessing whether compliance programs are effective and how they are monitored and maintained.