There’s a common pattern for new areas that become the focus of healthcare fraud and related enforcement. A new treatment, device, or procedure becomes available or is newly utilized. The reimbursement process for the new procedure is lucrative, often because it has not been used in the past. The nature of the procedure typically makes it easy to replicate with low barriers to entry. And there’s a compelling need – real or manufactured – in the marketplace. That pattern would fit past healthcare fraud focuses, including home health services, compounded medications, hospice care, telehealth, and many others. But the next major area for increased fraud enforcement may be autism-therapy services.
Read the full article: Emerging Target – Federal Enforcement Comes to the Autism Therapy Industry //
Source: https://www.lexology.com/library/detail.aspx?g=c80b7954-0aa8-4924-95bf-849277e90b1a