News & Commentary

Fraud Will Continue to Be a Priority for DOJ

In a recent speech, U.S. Attorney General Jeff Sessions said healthcare fraud will remain a priority for the Department of Justice. Sessions recently focused on law enforcement’s role in helping to combat prescription medication diversion, including by prosecuting healthcare providers. Criminal Division acting head Kenneth Blanco said that addressing schemes that divert Medicare funds should be a DOJ priority.Prescription Drug Fraud

The DOJ has long focused on healthcare fraud and Blanco said DOJ plans to increase the number of dedicated healthcare fraud prosecutors and may focus on areas hit by the opioid epidemic. The DOJ Criminal Division’s Health Care Fraud Unit currently employs approximately 56 prosecutors throughout the U.S. And government data analysts continue to mine CMS data for suspicious billing patterns. Information is often shared with U.S. attorney’s offices to investigate fraud and abuse.