When DOJ is looking at a health care
case, it usually starts with the agents.
And this is most commonly the FBI or
Health and Human Services offices of
Inspector General or we more commonly
say HHS
sometimes working at tandem but usually
HHS which enforces CMS or the Medicare
and Medicaid rules and regulations and
then joins with FBI on the criminal
aspect of things. When we’re talking
about an executive versus lower level,
they do very much and very commonly are
trying to target lower level individuals
first. They want the whale, so to speak.
They want the individual at the top, but
they are going to try to bully. They’re
going to try to scare the lower level
employee within this health care
organization or health care provider
that is involved in a company that bills
a federal health care program whether it
be Medicare A B C D or Medicaid uh or or
some other uh companies that aren’t as
common such as Triricare for veterans
but they’re trying to work their way up.
that is generally across the board. Uh
how the Department of Justice uh and the
various United States Attorney’s offices
and investigative bodies are building
these cases is start small, bully them,
scare them, work their way up the chain
to the executive. So that is definitely
a trend and it’s something that not only
the executives but the lower level
employees have to look out for.