• Our Partners
  • CarePolicy
  • HomeCareConsulting
  • Digit9X
  • Home
  • Assisted Living
  • Elderly
  • Home Care Agency
  • Home Care Worker
  • Home Nursing
Menu
  • Home
  • Assisted Living
  • Elderly
  • Home Care Agency
  • Home Care Worker
  • Home Nursing
Home ยป Expect federal scrutiny of the healthcare industry
Elderly

Expect federal scrutiny of the healthcare industry

adminBy adminMay 9, 2025No Comments4 Mins Read
Facebook Twitter Pinterest Telegram LinkedIn Tumblr Email Reddit
Share
Facebook Twitter LinkedIn Pinterest Email Copy Link


Queenan headshot

Patrick Queen Anne

Federal law enforcement agencies on criminal violations of medical fraud, waste and abuse are likely to increase this year.

Despite numerous reports that the Department of Justice (DOJ) is facing cost-cutting measures and forcing a drain from government efficiency (DOGE), it is likely that the ranks of agents and prosecutors handling medical issues are increasing despite the DOJ shifting the priorities of white-collar criminal execution.

This means search warrants, subpoena, target letters, prosecutions and law enforcement actions from the FBI, Hhsoig, DEA and other federal agencies.

The DOJ under the Trump administration has been speaking out when it announced how to prioritize criminal cases, including immigration, violent crime and cartel-related drug trafficking. As a result, DOJ is shifting resources from criminal cases, including public corruption to other sectors, foreign corruption practices, and “creptocracy” initiatives.

Given the administration's focus on detering fraud, waste and abuse, the DOJ will refocus its resources to investigate and claim medical fraud in federal programs. In fact, the Medicare and Medicaid programs (and other federal health benefits programs) pay more than $1 trillion in claims per year. And federal criminal prosecutions and investigations related to program fraud, waste, and abuse will return money to the public FISC. More prosecutions and investigations have led to more money being returned to the government.

Scott HS 1 1024x683

Scott Armstrong

The FBI, HHS-OIG, DEA and other law enforcement agencies partner with prosecutors in the Fraud Section Healthcare Fraud Units and the offices of U.S. lawyers nationwide to investigate and claim criminals related to medical fraud, wire fraud, anti-kickback violations, illegal prescriptions and other health services.

In recent years, federal law enforcement agencies have targeted the owners and operators of call centers that contact Medicare and Medicaid beneficiaries, laboratories that perform genetic testing, durable medical device companies, calm homes, remote health companies, addiction treatment facilities, behavioral health providers, and licensed practitioners, many of whom were illuminated by online or telehealth settings.

More recently, federal agencies have also launched criminal investigations regarding the distribution/prescription of ketamines and amphetamines, fraud schemes including enrollment in insurance plans, and filing claims for DMEs, genetic testing, prescription drugs, and other medical services or products.

As a result, federal prosecutors investigated and filed the owners of for-profit healthcare companies, investors, claimants, patient brokers, providers and other healthcare professionals. These cases often include charges under federal conspiracy law. This leads to extensive national research that affects all aspects of the industry, and can involve businesses and individuals far from actual criminal activity.

These investigations also collect evidence using email, mobile phones, assumption search warrants, corporate and financial records subpoena, and other methods of invading the operations of innocent third-party entities.

The healthcare industry should look forward to a drastic initiative in 2025 in law enforcement initiatives to combat healthcare fraud. Additionally, health professionals should expect to see more investigations and investigations from private insurance to combat the same. Navigate and handle the scope of these inquiries requires skill and experience.

It's already a challenging time for healthcare providers and professionals, as insurance payers increase audit activity, reimbursement rates stagnate, thin margins, and fewer people work in healthcare. If you or your entity finds themselves during enforcement action or investigation, there are ways to mitigate risk and avoid wasting valuable time and resources.

Patrick J. Queenn and Scott Armstrong are former federal prosecutors in the US Department of Justice, the fraud division and the healthcare fraud division. Queen Anne is based in Sheehan Finney, working with clients in the Boston area and New Hampshire. Armstrong is at McGovern Weems PLLC in Washington, DC. It advocates healthcare providers, businesses, and individuals involved in federal criminal investigations and prosecution in federal districts around the country.



Source link

Share. Facebook Twitter Pinterest LinkedIn Tumblr Email
admin
  • Website

Related Posts

IT leader believes that ‘superintelligence’ can make the healthcare industry more equitable and accessible for all

May 9, 2025

2025 Trends, Challenges, Opportunities

May 8, 2025

12 Top Ways Artificial Intelligence Will Impact Healthcare

May 8, 2025
Leave A Reply Cancel Reply

Top Posts

IT leader believes that ‘superintelligence’ can make the healthcare industry more equitable and accessible for all

May 9, 2025

How To Unlock A Windows PC Without The Password?

January 14, 2021
7.2

Best Chanel Perfume of 2024 – Top Chanel Fragrance Worth Buying

January 15, 2021

Is It Safe to Use an Old or Used Phone? Report Card

January 14, 2021
Don't Miss

Overseas nurses facing various barriers to speaking up

By adminMay 9, 2025

Overseas nurses fear speaking up due to concerns about retaliation, including dismissal or stalled career…

Inquiry hears of nurse staffing troubles on mental health wards

May 9, 2025

Petition calls for end to nursing associate ‘misuse’

May 9, 2025

VE Day: new nurse training unveiled to boost care for veterans

May 8, 2025

Subscribe to Updates

Subscribe to our newsletter and never miss our latest news

Subscribe my Newsletter for New Posts & tips Let's stay updated!

About Us
About Us

Welcome to HomeCareNews.us, your trusted source for comprehensive information on home healthcare services. Our mission is to empower individuals and families by providing accurate, up-to-date, and insightful information about essential home care services in USA.

Facebook X (Twitter) Pinterest YouTube WhatsApp
Our Picks

IT leader believes that ‘superintelligence’ can make the healthcare industry more equitable and accessible for all

May 9, 2025

Expect federal scrutiny of the healthcare industry

May 9, 2025

Aha has announced support for the Save Healthcare Workers Act

May 9, 2025
Most Popular

IT leader believes that ‘superintelligence’ can make the healthcare industry more equitable and accessible for all

May 9, 2025

How To Unlock A Windows PC Without The Password?

January 14, 2021
7.2

Best Chanel Perfume of 2024 – Top Chanel Fragrance Worth Buying

January 15, 2021
  • Home
  • About Us
  • Advertise with Us
  • Contact us
  • DMCA Policy
  • Privacy Policy
  • Terms & Conditions
© 2025 HomecareNews.US

Type above and press Enter to search. Press Esc to cancel.