tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Fraud & Abuse: Enforcement Reaches New Heights in September Takedowns

As fraud grows, the feds double down with bigger penalties. Medicare’s stream of rollbacks may lead you to believe that the feds are easing up on compliance, but that’s not the case. In fact, trends suggest that enforcement is actually on the rise — and fraudsters are receiving hefty fines and longer sentences. Context: The HHS Office of Inspector General’s (OIG) enforcement activity ramped up slowly this September. However, over the course of a seven-day spread — Sept. 12 to 19 — the federal watchdog and its subsidiaries toppled past enforcement records, including one the Department...

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