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Sutter Health Settles Medicare Fraud Case For $90 Million: The Largest Settlement For Medicare Advantage Fraud - Food, Drugs, Healthcare, Life Sciences

Sutter Health Settles Medicare Fraud Case For $90 Million: The Largest Settlement For Medicare Advantage Fraud - Food, Drugs, Healthcare, Life Sciences
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DOJ Telehealth Enforcement Action Highlights COVID Waiver Abuse

Tuesday, July 20, 2021 On May 26, 2021, the Department of Justice (“DOJ”) announced a coordinated law enforcement action against 14 telehealth executives, physicians, marketers, and healthcare business owners for their alleged fraudulent COVID-19 related Medicare claims resulting in over $143 million in false billing.[1] This coordinated effort highlights the increased scrutiny telehealth providers are facing as rapid expansion efforts due to COVID-19 shape industry standards. Since the outset of the COVID-19 pandemic, the DOJ has prioritized identifying and prosecuting COVID-19 related fraudulent conduct, particularly in regards to the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act[2] financial assistance programs. However, before this latest health care fraud takedown, the DOJ announced relatively little enforcement activity specific to federal healthcare programs. This renewed enforcement action may spark an increased effort by the DOJ to manage

DOJ s Recent Telehealth Enforcement Action Highlights Increased Abuse of COVID-19 Waivers | Epstein Becker & Green

DOJ s Recent Telehealth Enforcement Action Highlights Increased Abuse of COVID-19 Waivers | Epstein Becker & Green
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