The False Claims Act, HITECH Act, Stark rule, Red Flags rule, health care reform law and other government actions have ushered in substantially higher levels of regulation for the health care industry.

In the current health care enforcement climate, not only are effective compliance efforts at a great premium, but auditing and monitoring compliance is becoming critical to avoiding problems, says Patrick Coffey, a partner in the Chicago law firm Locke Lord Bissell & Liddell. "More and more, fraud and abuse risk is being driven by the mining of data to reveal problematic conduct," he contends. "Today, there is simply no way of getting around the use of systems to audit and monitor compliance to minimize enforcement risk."

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