Increasing Billing Audits and Investigations

The U.S. Department of Health and Human Services reported expected recoveries of more than $3 billion in audit and investigative receivables in 2015, and identified roughly $20.6 billion in savings based on regulatory or administrative actions that were supported by OIG recommendations.

Source: https://oig.hhs.gov/reports-and-publications/archives/workplan/2016/oig-work-plan-2016.pdf

 

False Claims Act Penalties Doubled in 2016

Effective August 1, 2016, civil penalties for violation of the False Claims Act nearly doubled to $21,563 per violation. Healthcare providers would also be required to pay three times the amount of damages that the federal government sustained because of the false claims.

Source: https://www.healthlawpolicymatters.com/2016/06/30/doj-announces-dramatic-increase-in-false-claims-act-penalties/