Darryl Landahl, Cliff Stricklin and Laura Perlov discuss successfully navigating False Claims Act (FCA) enforcement against health care companies, including hospitals, physicians groups and health insurers alike. Topics include: • Government pursuit of cases against health care entities and its success rate. • Recent enforcement trend in bringing FCA claims against health care companies based upon submission of allegedly false Medicare Risk Adjustment data, resulting in higher payments for Medicare Advantage members. • Overview of risk adjustment calculation and submission requirements. • FCA developments and recent cases regarding the Public Disclosure Bar and Original Source Requirement • Recent developments and decisions regarding Stark and Anti-Kickback Actions