For any health care organization, receiving a document request or subpoena from the U.S. Department of Justice or Office of Inspector General for the U.S. Department of Health and Human Services can be the beginning of a trying and expensive enforcement defense. This is particularly true when the enforcers are looking into kickbacks, funds allegedly paid by the organization for referrals or to increase claim volumes.
Many of these fraud claims, particularly those resulting from a government investigation, have been generated from use of data analytics to discover outlier payments or to find the areas where claims data seems to be out of step with the expected volume or dollar amounts. Health care organizations trying to defend against these claims can also use data analytics tools to mitigate risks and plan an effective response.
In this Bloomberg Law special report, Block That Kick(back) Enforcement, you will see how analytics can uncover vital information and insights, including:
- Trends in kickback enforcement
- Areas of the health care industry being targeted by these enforcement actions
- If self-disclosure is the best option
Download Bloomberg Law’s Block That Kick(back) Enforcement now.