Methodological challenges to government sampling techniques in civil fraud and abuse cases.
This Article discusses the use of statistical sampling in Medicare and Medicaid fraud and abuse audits. The author reviews cases in which government sampling methodologies have been challenged. Finally, the author describes the various alternatives available for challenging the validity of the statistical sampling used by the government in its audits.
Bierig
J R
JR
Sidley & Austin, Chicago, Illinois, USA.
D000573:American Hospital Association; D014487:Centers for Medicare and Medicaid Services, U.S.; D003625:Data Collection / Q000379:methods*; D005607:Fraud / Q000331:legislation & jurisprudence*; D006300:Health Services Misuse / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D008484:Medicaid / Q000331:legislation & jurisprudence; D012107:Research Design / Q000706:statistics & numerical data; D012494:Sampling Studies; D014481:United States