Compliance, CDI, and the False Claims Act: Connecting the Dots – MedLearn Publishing

False Claims Act Enforcement in Healthcare: Insights from the 13th Annual Fraud & Abuse Review

The False Claims Act (FCA) remains one of the government’s most powerful tools in combating healthcare fraud, with a growing focus on opioid-related cases and violations of the Anti-Kickback Statute. As highlighted in our recent article for Law360 Healthcare Authority, these enforcement trends were a key topic in our 13th Annual Healthcare Fraud & Abuse Review, which examines the latest developments shaping FCA litigation. A major takeaway from …

Compliance, CDI, and the False Claims Act: Connecting the Dots – MedLearn Publishing

EDITOR’S NOTE: Senior healthcare consultant Cheryl Ericson reported this story live today during Monitor Mondays. Ericson is the director of clinical documentation integrity (CDI) and utilization management (UM) for the Brundage Group Let’s start with the False Claims Act, which allows the U.S. government to recover money when an individual or entity knowingly submits or […]