The coming year will bring many changes to the delivery of health care services in communities around the country. The health care system, including the practice of IR, will continue to undergo significant reforms as physicians and hospitals work to control cost, integrate care delivery systems and adapt to changes resulting from implementation of the Affordable Care Act. Meanwhile, the U.S. government will continue to investigate and prosecute fraud and abuse within the health care system. Most observers expect the government to double down on its enforcement activities. After all, 2012 was a banner year for its collection of overpayments and penalties recovered from individuals and entities participating in federal health care programs.

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