DOJ's New National Fraud Enforcement Division Expected to Elevate Healthcare Fraud Enforcement Efforts

Report on Medicare Compliance quoted Covington attorney Dan Suleiman in an article examining the U.S. Department of Justice's newly established National Fraud Enforcement Division (NFED) and the government's increasing use of data analytics and artificial intelligence in healthcare fraud enforcement.

Dan explained that the creation of the NFED represents an elevation of fraud enforcement within DOJ and noted that the practical impact of the reorganization remains to be seen. He stated, “In a sense, this was a rebranding and reorganization that elevates the idea of combating fraud to division status as opposed to fraud-section status. The big question, to me, is how this division is going to operate in practice. It’s a TBD truly.”

Dan also noted that while the NFED is expected to focus primarily on criminal cases, it will have authority to pursue civil matters in certain circumstances.