Health Care Enforcement Defense Alert: DOJ and HHS Announce Efforts to Obtain Proactive Data Mining Tools to Supplement Anti-Fraud Efforts

In yet another health-related joint law enforcement initiative, Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced yesterday, December 16th, that they would be seeking to acquire a sophisticated predictive modeling data analysis system. This announcement continues the Obama Administration’s commitment to combating health care fraud and abuse, an effort that Congress has supported with increased funding. As part of Health Care Reform, in response to its funding request, the Administration received from Congress an additional $350 million to supplement fraud-fighting efforts. Increased technological support for federal health care fraud enforcement efforts, both for detection and prevention, was a priority in the Administration’s funding request.

The United States Departments of Justice (DOJ) and HHS previously announced that part of the enhanced funding would be used to expand their Health Care Fraud Prevention and Enforcement Teams (HEAT). Operating in South Florida and Los Angeles, HEAT strike forces include attorneys and investigators from multiple federal agencies collaborating on investigations and prosecutions of fraudulent Medicare billing. HHS/DOJ report that, since March 2007, HEAT operations have resulted in the indictments of more than 850 individuals alleged to have falsely billed Medicare for more than $2.1 billion. With the new funding, HHS and DOJ are expanding HEAT strike forces to five new locations: Houston, Texas; Detroit, Michigan; Brooklyn, New York; Baton Rouge, Louisiana; and, Tampa, Florida.

Please see full article below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Written by:

Published In:

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Mintz Levin - Health Law & Policy Matters | Attorney Advertising

Don't miss a thing! Build a custom news brief:

Read fresh new writing on compliance, cybersecurity, Dodd-Frank, whistleblowers, social media, hiring & firing, patent reform, the NLRB, Obamacare, the SEC…

…or whatever matters the most to you. Follow authors, firms, and topics on JD Supra.

Create your news brief now - it's free and easy »

All the intelligence you need, in one easy email:

Great! Your first step to building an email digest of JD Supra authors and topics. Log in with LinkedIn so we can start sending your digest...

Sign up for your custom alerts now, using LinkedIn ›

* With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name.
×
Loading...
×
×