Lexology March 3, 2022
The Department of Justice recently released their Year in Review summary of activity by the Healthcare Fraud Unit, detailing enforcements efforts related to some of the more significant telehealth-related fraud claims in 2021. The DOJ’s litigation unit significantly expanded last year to support the Fraud Unit, resulting in material criminal prosecutions and sentences. Since 2019, the Fraud Unit has led five enforcements actions involving over $8 billion in alleged fraud loss related to the exploitation of the use of telehealth.
As reported here previously, the government’s attention has been focused, in particular, on telehealth claims related to durable medical equipment and lab testing. The way the typical fraud scheme works is as follows. A telehealth marketer contacts a Medicare beneficiary...
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