Face Fines Up to
$100,000 for Non-Compliance
with CMS Rules
Failure to follow CMS guidelines, including overpayments, improper billing, and non-adherence to Medicare or Medicaid, can result in penalties of up to $100,000 per violation under the False Claims Act (FCA).
Reference: U.S. Department of Health & Human Services, Office of Inspector General (OIG). False Claims Act Overview.
Abuse (FWA) Prevention
Fraud Prevention
Programs Cut
Healthcare
Losses by 20%
Healthcare fraud costs the U.S. government $60-80 billion annually, but effective Fraud, Waste, and Abuse (FWA) prevention programs can reduce losses by up to 20%.
Reference: National Health Care Anti-Fraud Association (NHCAA). The Challenge of Health Care Fraud.
Non-Compliance Costs Average $14.82M Per Data Breach
Organizations that fail to meet regulatory guidelines, like HIPAA, face an average cost of $14.82 million per breach, including fines and reputational damage.Compliance Reviews
Reduce Violation
Risk by
Up to 50%
Regular compliance reviews and risk assessments can lower non-compliance risk by 40% and reduce costly violations by 35-50%, helping healthcare organizations meet regulatory standards.
References: U.S. Department of Health & Human Services (OIG); American Health Law Association (AHLA).
