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Six Ways for Health Providers to Lower Government Investigation Risk


  • October 27, 2022

Walt Cartin and Brian Cromwell wrote an article in Law360 about the proactive steps providers can take to reduce their risks tied to government investigations.

“Government investigations in the health care industry have increased since the COVID-19 pandemic began,” they wrote. “In July, the U.S. Department of Justice announced charges against 36 defendants in 13 federal districts for more than $1.2 billion in fraudulent telemedicine, genetic testing and durable medical equipment schemes in what is known as Operation Brace Yourself.”

“Operation Brace Yourself, Operation Rubber Stamp, and Operation Double Helix — which combined to target more than $8 billion in Medicare and Medicaid fraud loss — are prime examples of the DOJ's efforts to crack down on health care fraud in the past few years,” they continued. “In direct conversations with DOJ prosecutors and, anecdotally, in our legal practices, we are seeing that health care fraud investigations are running the gamut, from individual health care providers to the biggest hospitals and managed care organizations.”

“There are proactive steps providers can take in six areas to reduce their risks tied to government investigations,” they wrote. “If providers receive a subpoena, they should consider acting quickly and positioning themselves for cooperation credit.”

Click here to read the full article: Six Ways For Health Providers To Lower Gov't Investigation Risk

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