Health care providers and fraud investigations: what can you do when the government changes the rules in the middle of the game?
Mr. Rountree addresses the federal government's multi-pronged attack on health care fraud and focuses on the options available to health care providers who are under investigation by the government. The article proposes three potential responses to fraud investigations, including: (1) lobbying the government for relief; (2) suing the government; or (3) waiting to defend or settle the fraud action. After analyzing each method, Mr. Rountree concludes that an aggressive lobbying campaign is likely to be the most successful of the three possible provider responses.
Rountree
G E
GE
Sullivan, Stolier & Resor, New Orleans, Louisiana, USA.
D000573:American Hospital Association; D000574:American Medical Association; D005069:Evaluation Studies as Topic; D005161:Facility Regulation and Control / Q000331:legislation & jurisprudence*; D005607:Fraud / Q000331:legislation & jurisprudence*; D006761:Hospitals; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence*; D016365:Liability, Legal / Q000191:economics; D008119:Lobbying; D006278:Medicare / Q000331:legislation & jurisprudence*; D009735:Nursing Homes; D010820:Physicians; D014481:United States