How do fraud and abuse impact the costs of health care?

Healthcare fraud and abuse result in billions of dollars of losses each year for the federal government and private insurance companies. The ultimate cost of those losses is far-reaching, which is why the government is very committed to detecting and prosecuting healthcare fraud. Healthcare fraud is a crime under federal law, and those who violate...
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When does the FBI get involved in a case?

The Federal Bureau of Investigation (FBI) looks into a variety of crimes within eight major sections, five of which are criminal and three of which are for national security purposes. If you have received a target letter from the Department of Justice (DOJ), call a Georgia federal investigations defense lawyer from Griffin Durham Tanner...
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healthcare scams

How healthcare scams have become a $100B issue in the U.S.

Healthcare fraud schemes have cost the U.S. government, taxpayers, and insurance companies nearly $100 billion annually. If you think the government isn’t taking any alleged fraud seriously, – or anything that even resembles fraud – think again. According to the National Health Care Anti-Fraud Association, Medicare and Medicaid fraud...
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ftc data sharing

FTC and data sharing: What you need to know

In today's digital era, the exchange of information has grown significantly, with companies frequently gathering and disseminating personal data, leading to substantial privacy issues. The Federal Trade Commission (FTC) oversees data-sharing activities and safeguards consumers against unjust and misleading business practices. In this post, we’ll examine the FTC's function in regulating data sharing and the...
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DOJ increases False Claims Act (FCA) penalties

The Department of Justice (DOJ) recently announced an increase in False Claims Act (FCA) civil monetary penalties for 2023. This increase comes just eight months after the DOJ last increased penalties, making it the second increase in a year. The new penalties apply to violations that occurred after November 2, 2015, but...
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sec enforcement actions 2022

2022 SEC enforcement actions and year-end results

  The Securities and Exchange Commission (SEC) recently announced the Enforcement Results from fiscal year 2022, and there are a few items to note for fund managers and other financial professionals. 2022 was Chair Gary Gensler’s first full year in his position; predictions that his assumption of the position would bring in an era of aggressive...
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