☰ In this section

The Champion

December 2017 , Page 28 

Search the Champion Looking for something specific?

Preview of Member Only Content

For full access: login or Become a Member Join Now

An Introduction to Litigating the Loss Amount in Health Care Fraud Cases

By Ronald W. Chapman II and Laura A. Perkovic

The Department of Justice and the Department of Health and Human Services (HHS) joined forces in 2009 to create the Health Care Fraud Prevention & Enforcement Team (HEAT). HEAT employs multiagency cooperation and sophisticated investigative techniques designed to root out and prevent fraud. A stated goal of HEAT is to increase sentences for Medicare and Medicaid fraud offenses through the use of increased loss amount calculations.1 Aided by the Affordable Care Act’s (ACA) regulations designed for increasing sentencing exposure to individuals engaged in health care fraud, fines and forfeitures have drastically increased.2 Between June 2009 and the end of FY 2015,3 the Department of Justice recovered $26.4 billion in health care fraud. Guided by the “Yates Memo,” prosecutors are instructed to put increased pressure on the individual as opposed to corporate actors.4 U.S. Sentencing Commission statistics report a drastic rise in the median loss amount for health care fraud o

Want to read more?

The Champion archive is reserved for NACDL members.

NACDL members, please login to read the rest of this article.

Not a member? Join now.
Join Now
Or click here to see an overview of NACDL Member benefits.

See what NACDL members say about us.

To read the current issue of The Champion in its entirety, click here.

  • Media inquiries: Contact NACDL's Director of Public Affairs & Communications Ivan J. Dominguez at 202-465-7662 or idominguez@nacdl.org
  • Academic Requests: Full articles of The Champion Magazine are available for academic and research purposes in the WestLaw and LexisNexis databases.
Advertisement Advertise with Us

In This Section

Advertisement Advertise with Us