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May 22, 2013

First Quarter 2012 Update on Industry Trends in Health Care Fraud Enforcement

In this first installment of Mintz Levin’s Health Care Fraud Enforcement Defense Group’s periodic updates on health care enforcement activities in 2012,Brian DunphyHope FosterSamantha Kingsbury, Tracy Miner, and Stephanie Willis focus on significant civil settlements, criminal prosecutions, and regulatory developments that occurred in the first quarter of 2012.  This update follows our Year in Review series focusing on 2011 enforcement activities.

In the past quarter, settlements pursuant to state and federal civil false claims acts accounted for substantial health care fraud recoveries.   Additionally, the federal government continued to pursue prosecutions and settlements in its traditional industries of focus, including pharmaceutical and device companies, home health, and hospice care, and analysis of claims data is becoming an increasingly important government tool for health care fraud enforcement. 

Health care providers and pharmaceutical and medical device manufacturers should continue to monitor enforcement trends, evaluate their risks, and take appropriate preventive steps. 

©1994-2013 Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C. All Rights Reserved.

About the Author

Associate

Stephanie is an Associate in the Washington, D.C. office, practicing in the Health Law Section.

Prior to joining Mintz Levin, Stephanie was an associate counsel in the Department of Health and Human Services’ Office of Counsel to the Inspector General. There, her practice focused on health care enforcement matters involving the False Claims Act, the Social Security Act, the Physician Self-Referral Act, the anti-kickback statute, the EMTALA, and other administrative actions.

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