Tag Archives: healthcare

Report Details $2.3B in 2014 Health Fraud Recovery

A recent Law360 article noted that federal prosecutors in 2014 netted more than $2 billion from fraud investigations in healthcare and life sciences. Whistleblower suits are on the rise, and the government recovered $1.9 billion more in 2014 than in 2013 in False Claims Act, Stark Law, and Anti-Kickback Statute violations. Continue reading Report Details $2.3B in 2014 Health Fraud Recovery

Update on Unallowable Costs for Ineligible Dependent Health Care Benefit Costs

By: Mary Karen Wills

On February 17, 2012, Shay Assad, the director of Defense Procurement and Acquisition Policy (DPAP), issued a memorandum regarding “Unallowable Costs for Ineligible Dependent Health Care Benefits.” This memo reiterated that costs incurred by contractors for ineligible dependent healthcare are unallowable as they represent invalid claims made by employees. The memo affirmed that DoD would not pursue penalties under FAR 42.709 related to these costs, but that DoD intended to amend the DFARs in this regard to enable it to pursue penalties in the future.

Fast-forward to March 28, 2013: DCAA issues Audit Guidance Memorandum 13-PAC-004(R) transmitting the DPAP guidance to its auditors (http://www.dcaa.mil/mmr/13-PAC-004.pdf). DCAA affirms that auditors should not pursue application of penalties under FAR 42.709 related to questioned ineligible dependent healthcare benefit costs. In addition, DCAA auditors are instructed not to cite contractors for CAS 405 noncompliance when they fail to exclude these costs from Government contracts.

Continue reading Update on Unallowable Costs for Ineligible Dependent Health Care Benefit Costs