In an article published by Bloomberg Law, litigation & enforcement partners Laura Hoey and Andrew O’Connor, health care partner Devin Cohen and health care associate Samuel Perrone examined the key enforcement trends that Medicare Advantage Organizations, providers, and vendors should consider in 2024, including:
- the possible scrutiny of third-party vendors with a nexus to billing and coding
- potential FCA liability for private equity investors in Medicare Advantage plans
- investigation of AI utilization in Medicare Advantage
- value of self-disclosure
- third-party marketing organization oversight
- extrapolation
- the OIG role in Medicare Advantage plan compliance oversight
Litigation & enforcement counsel Renai Rodney, and associates Dominique Rioux, John King, and Shanzeh Daudi also contributed to the article.
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