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.