New healthcare reform-related audits help prevent fraudulent enrollment
Medicare and Medicaid fraud is ubiquitous in our health care system. The qui tam provision of the False Claims Act is a valuable tool for whistleblowers to use in fighting against this fraud. Those operating Medicare Advantage plans and those private actors now making millions under Medicare Part D need to be carefully monitored for fraud. Hagens Berman represents whistleblowers in fraud cases under both parts of these Medicare regimes. — Shayne Stevenson
"While the government will continue pursuing allegations of fraud, waste and abuse by doctors, hospitals and suppliers in fiscal 2015, the Office of Inspector General's latest workplan turns an investigative eye on Medicare Advantage and plans sold pursuant to the Affordable Care Act, The Center for Public Integrity reported. Curbing overbilling in managed healthcare plans has become a federal priority--a new audit schedule will serve that end." Full article »
