News: DOJ recovers record $3 billion from fraud claims
CDI Strategies, December 9, 2010
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The Department of Justice (DOJ) recovered $2.5 billion in healthcare fraud recoveries for fiscal year (FY) 2010—the largest in history—and $3 billion in total civil fraud claims, according to a DOJ press release. Of that, $2.3 billion was recovered via False Claims Act’s qui tam provisions which encourage employees to inform the government of potential False Claims Act violations.
- Inaccurate coding
- Upcoding
- Billing for medically unnecessary services
- Billing for services not provided
- Insufficient documentation
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