BREAKING: Healthcare Fraud and Enforcement

The Federal Government had a big year for healthcare fraud recovery and enforcement in 2021. 

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In 2021, the federal government received $1.9 Billion from healthcare fraud settlements. 

They also excluded nearly 1,700 people and entities from participating in federal healthcare programs. 

The Department of Justice also opened 831 new criminal healthcare fraud investigations in 2021. 

What were the common fraudulent themes? 

  • Fraudulently obtaining COVID-19 relief funds
  • Unnecessary services
  • Unnecessary lab testing 
  • Technology schemes
  • Transportation services
  • Diagnostic testing
  • Durable medical equipment
  • Genetic testing
  • Home health providers
  • and more

It is essential that healthcare entities ensure their compliance plan is up to date and active. 

The government has not slowed down enforcement activities and instead appears to be ramping up actions against healthcare entities. 

Now is the time to make sure your compliance plan is accurate and functioning correctly for your practice. It is also necessary to make sure that your staff is trained on how to respond to federal inquiries. 

If you think your compliance plan needs updating or your staff needs training, contact us today. 

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