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Industry Trends in Criminal Health Care Fraud Enforcement

Posted in Fraud & Abuse, Health Care Reform, State & Federal Audits, Investigations & Litigation, Uncategorized

Mintz Levin’s Health Care Enforcement Defense Group has issued a new Client Advisory:  Industry Trends in Criminal Health Care Fraud Enforcement – Part III in a Continuing Series on Health Care Enforcement.   Written by Hope Foster, Tracy Miner, Stephanie Willis, Samantha Kingsbury, and Brian Dunphy, this third and final installment reviewing criminal health care fraud enforcement activities in 2011 and anticipating trends in 2012, expands upon the overview of criminal enforcement tools and strategies provided in the Part One Report.  To complement our analysis of civil health care fraud enforcement through the use of the FCA in the Part Two Report, Part Three provides the highlights of enforcement in the DME, home health, and therapy/clinic-related industries and also examines the expanded use of non-health-care fraud-related statutes and traditionally “blue-collar” crime strategies to prosecute alleged fraud involving government health care programs.  Finally, it considers how recent health care reform measures, such as new regulations, enhanced sentencing guidelines, and data analysis technology, will contribute to strengthened enforcement in 2012.

With these three introductory pieces, the Health Care Enforcement Defense Group will now publish quarterly updates to help keep clients informed of new trends and hot topics in civil and criminal health care fraud enforcement.