In my prior post, I promised that I would offer a draft Part 2 order that complies with the regulation's requirements for an investigator looking into fraud. The actual attachment has a few additional notes for law enforcement as comments, but the substance of that sample order follows below. IN THE MATTER OF: APPLICATION FOR … Continue reading A Sample Part 2 Order
In a prior post, I mentioned that fraud, waste, and abuse enforcement is likely to uptick and that vendors should get ready to be responsive to subpoenas and warrants for data exports of their customers’ records, particularly in response to billing fraud. Since then, Attorney General Pam Bondi has continued to drive home the point … Continue reading Part 2 of Responding to Subpoenas for Billing Fraud
The Trump administration has repeatedly made it clear that fraud, waste, and abuse will be targets under the new administration, and healthcare is feeling the heat. This administration has signaled a robust approach to enforcing the False Claims Act, with a continued priority focus on coding and violations of the Anti-kickback Statute. It will also … Continue reading Responding to Subpoenas, Warrants, and Other Process for PHI
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