Rosenblum Schwartz & Fry

Health care fraud unquestionably a top-tier criminal law concern

Two things might reasonably be noted immediately concerning health care fraud in the realm of alleged wrongdoing involving Medicare/Medicaid billings.

First, that government focus is seemingly relentless and overpowering, with wide-ranging evidence existing to indicate that regulators and criminal law enforcers have made health care fraud-related arrests and convictions an absolute top priority among their investigative efforts.

And, second, that singular realm of criminal activity and harsh government response -- at both federal and state levels -- is replete with heightened complexities that render many given cases problematic on any number of fronts.

We note in a July 13 blog entry at the St. Louis criminal defense firm of Rosenblum Schwartz Fry, for example, that there "is often considerable doubt regarding the conscious intent of a white collar defendant to do wrong."

And that is certainly unsurprising, given the labyrinth of local, state and federal laws applicable to the health care realm, as well as the complex overlap that often occurs when multiple task forces and agencies are collectively involved in investigations.

A recent media report now points to yet further evidence that medical industry regulators and criminal authorities are unceasingly focused on health care fraud probes and securing convictions for alleged wrongdoers. Reportedly, the U.S. Attorney's Office in Chicago is adding material muscle to its enforcement efforts through creation of a new office staffed by multiple prosecutors that will be focused solely on health care fraud investigations.

That move is far from an anomaly; rather, it merely reinforces the strong prosecutorial focus on alleged fraud within the health care realm that is already apparent in cities and states all across the country, including in Missouri.

As the above-cited media piece notes, that focus reflects what has been "a national priority for the U.S. Department of Justice for a decade."

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Rosenblum Schwartz & Fry

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