Proactive risk management needed as increased fraud enforcement continues

Increased funding for healthcare fraud and abuse oversight highlights a growing need for healthcare organizations to take a proactive approach to corporate compliance and risk assessment, according to a report released by the law firm McDermott Will & Emory. The 2015 budget for the Health Care Fraud and Abuse Control (HCFAC) program more than doubled to $672 million, which means healthcare organizations can expect more regulatory oversight from CMS, the Department of Justice, the Office of Inspector General, and the Department of Health and Human Services. As a result, organizations should devote more focus to robust compliance programs in order to prepare for government auditors. This echoes sentiments made the previous week by another healthcare fraud defense lawyer regarding the need for better corporate compliance programs, FierceHealthPayer: AntiFraud previously reported. Report