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Hospice providers are now frequent targets of U.S. Department of Justice and Office of Inspector General investigations, both criminal and civil. The main tools the enforcement agencies are relying on include the civil False Claims Act, with its whistleblower provisions that allow a current or former employee or competitor to file a complaint for alleged fraud, the criminal Anti-Kickback Statute, and other fraud and abuse laws under the OIG’s purview, like exclusion and civil monetary penalties.

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