tci Medicare Compliance & Reimbursement - 2024 Issue Q1

Fraud & Abuse: Feds Focus On Physicians In February Enforcement

Caution: The 2023 FCA settlement numbers may shock you. Per usual, the feds are off and running in 2024 with several million dollar settlements — many targeting clinicians. Backtrack: Though 2024 is looking like it’s going to be a banner year for Medicare enforcement, the 2023 statistics show last year was one for the ages, according to the Department of Justice (DOJ). For the fiscal year 2024, which ended on Sept. 30, 2023, False Claims Act (FCA) settlements surpassed $2.68 billion, according to a DOJ release on Feb. 22. In addition, “the government and whistleblowers were...

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