May 26, 2022

Volume XII, Number 146

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Strike Force Takes Renewed Aim at Health Care Fraud and Abuse and Encourages Whistleblowers

The United States Attorney’s Office for the Northern District of West Virginia announced a renewed emphasis on health care fraud prosecutions in West Virginia as of January 19, 2022. It formed the Mountaineer Health Care Fraud Strike Force to use a data-driven approach to uncover waste and abuse, and the task force purportedly involves several state and federal agencies. The U.S. Attorney’s Office also emphasized the importance of whistleblowers and encouraged them to report suspected fraud at the organizations where they are employed, noting that whistleblowers can collect potentially significant awards under federal qui tam provisions. The U.S. Attorney’s Office set up a hotline, email address, and mailing address for the reporting of potential fraud.

Government investigations often begin with an analysis of computer data identifying billing “red flags” and other reporting requirements. Consequently, investigations are often times well-developed by the time the organization is contacted by authorities regarding suspected fraud. Criminal, administrative, and civil penalties are all potential ramifications in health care fraud matters.  

© Steptoe & Johnson PLLC. All Rights Reserved.National Law Review, Volume XII, Number 27
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About this Author

William J. Powell Civil Defense Lawyer Steptoe Johnson
Of Counsel

Clients appreciate that Bill Powell is a straightforward attorney who cuts through the fluff and gets to the heart of the matter.  Bill’s pragmatic nature has been an asset to private clients for more than three decades and made him an effective United States Attorney who actively sought justice in high-stakes criminal activities, including drug conspiracies, national security matters, murder and other violent crime, and major fraud cases. 

Bill has a unique skill set that is a combination of bet-the-company civil defense and high profile prosecution.  The common denominator in his...

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