The DOJ-OIG Guidelines establish frameworks for detecting and deterring fraud, waste, and abuse in federal healthcare programs. They provide voluntary compliance guidance to help healthcare entities design effective programs that prevent violations of the False Claims Act, Anti-Kickback Statute, and other federal laws. The General Compliance Program Guidance (GCPG) covers seven core elements of an […]
At Barrett Johnston, we’ve seen firsthand how the federal government’s approach to Medicare and Medicaid fraud has evolved from modest oversight to one of the most sophisticated enforcement systems in the world—albeit a system that is still limited in its ability to stop fraud, waste, and abuse. Understanding that history helps explain why today’s whistleblowers
The False Claims Act (FCA) is the single most powerful tool for combating fraud against the U.S. government. It’s also the foundation for nearly every major healthcare fraud case we see today. Originally passed during the Civil War in 1863, the FCA was designed to stop suppliers from defrauding the Union Army. It has since
From 1863 contractors to today’s hospitals and drug companies, it has always taken brave insiders to expose fraud. The False Claims Act (FCA) is one of the most important laws in the fight against fraud against the United States government, and its story begins during the American Civil War. In 1863, President Abraham Lincoln signed
