DOJ announces $2.6B health care false claims recoveries

January 13, 2020

Blog Post

The Department of Justice (DOJ) recently announced its recovery of over $3 billion from False Claims Act (FCA) civil cases, including $2.6 billion from health care cases.

The press release highlights the following trends:

Health care fraud settlements and judgments have exceeded $2 billion every year for the last 10 years.
Whistleblowers continue to play a central role in FCA cases, generating over $2.1 billion in qui tam recoveries and filing 633 qui tam suits.
The DOJ remains committed to using FCA and other remedies to hold individual owners and officers responsible for corporate fraud and abuse.

For more information, please contact the attorney listed below.

Skilled nursing facilities will soon be required to significantly expand their reporting of ownership and control information on newly updated CMS-855A forms. Private equity companies and other organizations like real estate investment trusts have been named as one of the reasons that the expanded reporting for SNFs has been implemented. As such, these organizations should be aware that they may be a part of this reporting through a number of routes.

Over the past 24 months, the U.S. Department of Health and Human Services Office for Civil Rights has brought notable enforcement efforts against several non-profit covered entities and business associates, resulting in instances of six and seven-figure penalties against providers across the county for incidents involving breaches of protected health information.

A new amendment to New York state law, which would have required all healthcare providers to obtain separate consents from patients for treatment and payment is on hold until further guidance is released, according to the New York Department of Health.

DOJ announces $2.6B health care false claims recoveries

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