Prevent fraud with strong compliance programs after DOJ wound care findings

Department of Justice (DOJ) actions on April 4, 2025, have highlighted significant fraudulent activities in wound care services and why robust compliance programs are necessary within healthcare organizations. These findings serve as a critical reminder of how wound care services can be vulnerable to fraudulent practices.

Healthcare organizations must prioritize the development and maintenance of effective compliance programs to detect, prevent, and address fraud. Such proactive measures not only protect the integrity of healthcare delivery but also safeguard organizations from legal repercussions and financial losses.

DOJ findings on wound care fraud

The DOJ filed a False Claims Act complaint against Vohra Wound Physicians Management LLC and its founder, Dr. Ameet Vohra on April 4, 2025. The allegations assert that Vohra submitted false claims to Medicare for wound care services that were either unnecessary or lacked proper documentation. This case exemplifies the government's commitment to addressing fraudulent practices in wound care.

Additionally, in June 2024, nearly 200 individuals, including healthcare professionals, were charged in a nationwide crackdown on health care fraud schemes totaling approximately $2.7 billion.