Healthcare Fraud & Abuse Review 2017

Matthew Curley, Brian Roark
Bass, Berry & Sims PLC
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A LOOK BACK... A LOOK AHEAD -

While the uncertainty associated with legislative efforts to repeal the Patient Protection and Affordable Care Act (PPACA) dominated most of the headlines for the healthcare industry last year, it was mostly business as usual for the government’s healthcare fraud enforcement efforts.

Civil fraud recoveries by the U.S. Department of Justice (DOJ) remained steady at $3.7 billion in the fiscal year ending September 30, 2017 (FY 2017). Standing at more than $20 billion, total recoveries during the trailing five fiscal years continued to reflect the long-term successes of the government’s enforcement efforts. As is typical, the majority of DOJ’s civil enforcement recoveries stemmed from matters involving false claims against federal healthcare programs in violation of the False Claims Act (FCA).

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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.

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