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Internal Investigations May be Open to Court and Government Agency Scrutiny

Internal Investigations May be Open to Court and Government Agency Scrutiny

Linda A. Malek, Lauren Mack;Allyson Beach
April 4th 2015

Given a handful of recent cases, and a recent update to the CMS Voluntary Self-Referral Disclosure Protocol, it appears that the federal government may be using the existence of these audits as a means for demonstrating that the provider "knew or should have known" that fraud occurred.

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