Special Focus on Enforcement in Medicare Advantage

Emerging Enforcement and Investigation Trends in Medicare Advantage

November 2, 2023 1:15pm

Lindsey B. Fetzer
Partner
Bass, Berry & Sims

Julie Nielsen
Managing Director
Berkeley Research Group LLC

  • Assessing the current enforcement landscape for Medicare Advantage plans
  • Top takeaways from recent FCA cases involving Medicare Advantage plans
  • Latest Qui Tam whistleblower claims
  • Tracking trends in the types of fraud targeted in these cases, including falsified diagnoses, unnecessary treatment, and upcoding
  • Anticipating future FCA activity in Medicare Advantage
  • Identifying opportunities to strengthen compliance, and training to avoid litigation and regulatory scrutiny as an MAO