Growing Gov't Crackdown On Health Care Fraud: Part 3
07 November 2014Law360
As outlined in part one and part two of our series on health care fraud, the federal government has substantially stepped up its efforts to eliminate health care fraud through criminal and civil proceedings. It has done so, in large part, by using data on the numbers of medical procedures and payments generated by physicians and then using that information to guide its investigations of suspected wrongdoing. This analytical approach is relatively efficient and inexpensive, but it is also simplistic and therefore has the potential to ensnare more well-meaning physicians than ever before.