Melissa L. Jampol, a Member of the Firm in the Health Care and Life Sciences and Litigation practices, in the firm’s New York office, was quoted in the Bloomberg BNA Health Care Daily Report, in “Dallas Doc Gets 35 Years for Record Illegal Home Care Referrals,” by Nushin Hug. (Read the full version – subscription required.)
Following is an excerpt:
OIG agents used data analytics to catch Roy, which is an important aspect in the case, Melissa Jampol, a former assistant U.S. attorney who has prosecuted health-care fraud cases, told Bloomberg BNA. Jampol focuses on health-care enforcement as an attorney with Epstein, Becker & Green PC in New York and Newark, N.J., including the use of data analytics in fraud investigations.
“The data analytics showed by far that he had filed the most Medicare claims in the nation under home health care,” Jampol said. “That’s the trend that HHS-OIG is relying on more and more,” she added, referring to the Department of Health and Human Services.
In Jampol’s practice, she is hearing from U.S. attorneys that data analytics are playing a role in subpoenas her clients are receiving. As baby boomers continue to age, home health services will expand. It’s an area the Department of Justice has made some big cases in, Jampol said.
“This [case] was the largest home health case at the time,” Jampol said.
Without the use of data analytics in this case, which was complex and occurred over a number of years, it would have taken prosecutors many more years to bring the case to court, Jampol said.