Fraud and Abuse Enforcement
Explore the OIG Enforcement Actions page. Review and select one of the articles on a case of health care fraud.
OIG website- https://oig.hhs.gov/fraud/enforcement/?type=fraud-self-disclosures
selected article- Dartmouth-Hitchcock Health Entities Agreed to Pay $2.1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Tests Not Ordered by a Physician
link- https://oig.hhs.gov/fraud/enforcement/dartmouth-hitchcock-health-entities-agreed-to-pay-21-million-for-allegedly-violating-the-civil-monetary-penalties-law-by-submitting-claims-for-tests-not-ordered-by-a-physician/
link on the web- https://www.jdsupra.com/legalnews/new-hampshire-health-system-pays-2-1m-9877750/
Write a 700- to 1,050-word analysis of the case that includes the following:
Summarize the incident and the specific fraud that was enacted.
Determine what laws were broken and which regulatory bodies are responsible for oversight of the regulations that were violated.
Describe the communications and information that would have been exchanged among the regulatory bodies and the offending organization during the investigation and charge of fraud or abuse in the case.
Explain the outcome of the case. If a judgment has not yet been passed, what do you think the outcome of the judgment should be? Justify your response.