What health systems need to know about FCA enforcement initiatives - with Ethan Davis


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In February, the federal government announced that the DOJ's Civil Division had recovered more than $5.6 billion in settlements and judgments under the False Claims Act, or FCA, for fiscal year 2021. This was a huge increase from the previous year – and almost 90% of that money was related to health industry claims.

Joining Healthcare IT News Senior Editor Kat Jercich to discuss past and future enforcement initiatives is Ethan Davis, partner at King & Spalding.

Talking points:

  • A government wake-up on private equity enforcement
  • DOJ's new cybersecurity initiative
  • How COVID-19 shifted the federal approach to investigations
  • Forthcoming focus on potential Provider Relief Fund fraud and clinical trial fraud
  • The Anti-Kickback Statute and how it affects providers
  • EHRs as a stated area of focus
  • What listeners should be aware of around telehealth
  • How stakeholders can protect themselves
  • Predictions for the rest of 2022

More about this episode:

OIG warns EHR vendors it will 'vigilantly' crack down on false claims tied to meaningful use

DOJ slams Greenway with $57 million False Claims fine

DOJ lawyer in Greenway case: EHR vendors are now on notice

CareCloud to pay $3.8M to settle kickback allegations with DoJ

Athenahealth to pay $18.25M for alleged False Claims Act violations

Florida woman to pay $20.3M after using telemedicine to shield alleged fraud

Judge awards whistleblower $390K in athenahealth kickback case

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