Doctors and Litigation: The L Word What You Should Know When The Government Comes Knocking
9 snips
Apr 19, 2025 AI Snips
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How Doctors Attract DOJ Scrutiny
- The government targets doctors for investigation mainly due to high or outlier billing patterns and whistleblower reports.
- Use of analytics and AI also flags specific practices or government priority areas like COVID fraud.
Protect Yourself From Fraud Claims
- Maintain comprehensive records, compliance programs, and expert advice to defend your billing practices.
- These steps help demonstrate lack of intent if investigated for fraud.
Civil vs Criminal DOJ Cases
- DOJ prosecutes healthcare fraud through civil and criminal actions with very different consequences.
- Civil cases seek monetary damages without jail; criminal cases seek indictments and jail time.