Matt Curley and Brian Roark Provide Insight on Hospital Fraud & Abuse Enforcement for Becker’s Hospital Review

Bass, Berry & Sims attorneys Matt Curley and Brian Roark provided an overview of trends related to hospital fraud and abuse enforcement in a recent article published by Becker’s Hospital Review. The article, titled “7 Notable Developments in Hospital Fraud & Abuse Enforcement,” discusses the following trends in hospital enforcement:

1. The government’s increased willingness to bring claims alleging unnecessary care;
2. The government’s scrutiny of the medical need for and hospitals’ billing of certain medical procedures;
3. Increased awards for whistleblowers reporting Medicare fraud;
4. The increased need for hospital peer-reviews in addition to internal reviews;
5. The increased number of Stark and AKS cases centered around physician employment arrangements;
6. The applicability of Stark to Medicaid claims; and
7. The increased focus on holding individuals and entities criminally liable for healthcare fraud.

To read the article in its entirety, please click here.