June 28, 2022

Volume XII, Number 179

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June 28, 2022

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June 27, 2022

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Thought Leaders in Health Law: Record-Shattering Year for FCA Recoveries in Health Care [VIDEO]

The U.S. Department of Justice (DOJ) collected $5.6 billion in False Claims Act recoveries in fiscal year (FY) 2021.

That is over twice as much as 2020, and a record 90 percent of the total was collected from the health care and life sciences industries.

DOJ’s health care recoveries in government-initiated actions were also more than double the total recoveries in actions initiated by whistleblowers.

Health care enforcement targeted:

  • billing for unnecessary medical services,

  • solicitation or payment of kickbacks for goods or services paid for by federal health care programs, and

  • risk adjustment fraud related to Medicare Advantage programs.

 

 

The record-breaking year in FY 2021 shows that the pandemic has not weakened enforcement activity, especially for the health care and life sciences industries. Comprehensive and effective compliance is more important now than ever.

©2022 Epstein Becker & Green, P.C. All rights reserved.National Law Review, Volume XII, Number 69
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About this Author

George Breen, Health Care Attorney, Epstein Becker Law Firm
Member

GEORGE B. BREEN is a Member of the Firm in the Health Care and Life Sciences and Litigation practices. He is Chair of the firm's National Health Care and Life Sciences Practice Steering Committee and a member of the firm's Board of Directors.

Mr. Breen:

  • Defends clients undergoing investigation for health care fraud by the Department of Justice, the Department of Health and Human Services Office of the Inspector General, and other state and federal governmental authorities
  • ...
202-861-1823
Erica F. Sibley, Epstein Becker, Long term acute care hospitals lawyer, Healthcare Attorney
Associate

ERICA F. SIBLEY is an Associate in the Health Care and Life Sciences practice, in the Washington, DC, office of Epstein Becker Green. She represents a diverse group of health care providers, including, but not limited to, long-term acute care hospitals, skilled nursing facilities, institutional pharmacies, home care agencies, adult day care facilities, physician groups, and various other health care facilities and providers.

202-861-1867
Daniel C. Fundakowski Pharmaceutical and Healthcare Attorney Epstein, Becker & Green Law Firm
Member of the Firm

Daniel C. Fundakowski s a Senior Counsel in the Health Care & Life Sciences and Litigation & Business Disputes practices in the Washington, DC, office of Epstein Becker Green. His practice focuses on representing leading pharmaceutical and device manufacturers, retail pharmacy chains, compounding pharmacies, academic medical centers, skilled nursing facilities, and other institutional providers in health care regulatory and litigation matters.

Services

Mr. Fundakowski’s services include:

...
202-861-1826
Elizabeth A. Harris Health Care Attorney Epstein Becker & Green Washington, DC
Associate

Elizabeth A. Harris is an Associate in the Health Care and Life Sciences practice, in the Washington, DC, office of Epstein Becker Green. She focuses her practice on health care government investigations and litigation matters.

Specifically, Ms. Harris:

  • Provides assistance to health care clients undergoing inquiries, audits, or investigations by the U.S. Department of Justice, the U.S. Department of Health and Human Services' Office of Inspector General, and other state and federal government authorities
  • Represents clients in litigation arising...
202-861-1873
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