The Department of Justice just reported another record-breaking year for False Claims Act (FCA) enforcement, and healthcare organizations once again accounted for the overwhelming majority of recoveries.
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Posts about false claims act:
Deeper Than the Headlines: How Small Billing Errors Trigger Big False Claims Act Risk
When headlines announce six-figure or seven-figure False Claims Act (FCA) settlements, it’s easy to assume the underlying misconduct involved massive volumes of improper billing. But in the latest episode of Deeper Than the Headlines, CJ Wolf breaks down a Florida physical therapy case that proves...
DOJ’s $6.8 Billion False Claims Act Year: What the Data Reveals About Compliance Risk
The Department of Justice’s announcement of $6.8 billion in False Claims Act recoveries for fiscal year 2025 marks a historic high—and a clear message to healthcare organizations.
Deeper Than the Headlines: Medicare Billing Violations Lead to $790K Settlement
An eye care organization in Pennsylvania recently agreed to pay $790,000 to resolve allegations of submitting improper Evaluation & Management (E&M) claims alongside bilateral eye injections. The violations, which occurred between 2018 and 2025, involved billing for same-day services in a way that...