The New Upcoding – Risk Adjustment as a False Claim

    View Authors September 2014

    Just like the rest of us, fraudsters will adjust to changes wrought by the Affordable Care Act. There is simply too much money in healthcare to keep the fraudsters from trying to get at it.

    Squire Patton Boggs partner Colin Jennings and of counsel Tom Zeno recently had an article – “The New Upcoding – Risk Adjustment as a False Claim” – published by the Cleveland Metropolitan Bar Association that describes one method that fraudsters will use to bilk money from the healthcare system in the future and how the government and compliance officers will try to stop them.