Analyzing the Most Notable Fraud and Abuse Cases of the Year
The Biggest Wins, Losses and Lessons Learned for MAO Case Strategies
Rachel Alexander
Partner
Wiley Rein LLP
Benjamin McCoy
Partner
Fox Rothschild LLP
- Analysis of noteworthy Part C cases of the year
- Identifying types of fraud targeted in these cases, including falsified diagnoses, unnecessary treatment, and upcoding
- Forecasting future FCA cases involving COVID-19 relief programs
- Examining defenses put forward by payors and providers
- Materiality and objective falsity standards in FCA Litigation
- What measures can MAOs take to avoid scrutiny?