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HHS and DOJ Release Annual Fraud and Abuse Report

Last week, HHS and DOJ issued the Health Care Fraud and Abuse Control (HCFAC) Program FY 2019 Annual Report detailing federal enforcement activities and results during the federal fiscal year (FY) 2019, which ran from October...more

Office of Inspector General Announces New Fraud Risk Indicator Tool

The Office of Inspector General (OIG) has announced the launch of a new tool, which OIG has titled the “Fraud Risk Indicator.” A preliminary page for the Fraud Risk Indicator is available here on OIG’s website. OIG’s stated...more

10/5/2018  /  False Claims Act (FCA) , Fraud , OIG

Sixth Circuit Panel Reinstates Jury Conviction in Criminal Healthcare Fraud Case Based on Medical Necessity

On June 25, 2018, a three-judge panel on the U.S. Court of Appeals for the Sixth Circuit ruled in United States v. Paulus that the trial court judge wrongly overturned a Federal jury’s conviction of a Kentucky cardiologist...more

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