ABL Innovations Presentation
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Transcript of ABL Innovations Presentation
Nick Merkin11845 W Olympic Blvd., Suite 1250Los Angeles, CA 90064 [email protected] www.compliagent.com
Healthcare Compliance Was Relatively Easy…HEALTHCARE FRAUD AND ABUSE CONTROL
PROGRAM
1997 - 2009$6.7 BILLION
2009 - 2013
$19.2 BILLION
Regulations Were Laxly Enforced.OIG ENFORCEMENT
BUDGET
2012$101 MILLION
2014
$389 MILLIONAN INCREASE OF OVER 1/3 IN JUST TWO YEARS
Healthcare Regulatory Violations, By and Large, Went Undetected or Had Little Consequence…FBI
PENDING CASELOAD
HEALTHCARE FRAUD
INVESTIGATION CASES
1992591 Cases
112 Agents
20133,542 Cases480
Agents1,023 Indictments
Fines and Penalties Became More Intense…AVERAGE SENTENCING FOR
HEALTHCARE-RELATED CRIMES
52 Months In Prison
FOR EVERY DOLLAR SPENT ON HEALTHCARE-RELATED FRAUD AND
ABUSE INVESTIGATIONS BY THE FEDERAL GOVERNMENT IN THE
LAST THREE YEARS Government Recovered
$8.10
Until Finally, The “Traditional” Professional Service Model Wasn’t Enough…
A New Professional Service Model Was Needed…
Nick Merkin11845 W Olympic Blvd., Suite 1250Los Angeles, CA 90064 [email protected] www.compliagent.com
Thank You For Your Time…
Questions?