The Department of Justice (DOJ) has made numerous recent public statements reflecting increased priorities for enforcement, especially in the health care industry. The DOJ has a variety of tools at its disposal to enforce civil and criminal laws and has several methods of obtaining information during health care fraud and abuse investigations. Precious time will be lost, and important steps will be inadvertently missed, if an organization waits until an investigation is underway to decide how it and its employees should react to a government inquiry for information. Developing a well-thought-out policy for responding to government investigations requires understanding:
Entities and individuals should take the opportunity now to review their own procedures for responding to the government. Understanding the requests and some essential best practices will help prepare for inquiries that are becoming a regular part of operations.
The DOJ has at its fingertips very powerful tools for protecting government funds against fraud and abuse. In addition to federal laws, each state may have enacted its own laws which are designed to mirror their federal counterparts. This section will focus on the federal laws the government...
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