Analyzing the Most Notable Fraud and Abuse Cases of the Year

The Biggest Wins, Losses and Lessons Learned for MAO Case Strategies

October 13, 2022 9:30am

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?