Fraud Waste & Abuse

Home > Tools You Can Use > Topics > Compliance > Fraud Waste & Abuse You Can Use:Topics:Compliance:Fraud Waste & Abuse<p>Decreasing spending through the elimination of fraud, waste and abuse has become a focus in health care, especially since passage of the Affordable Care Act. This section provides the latest news impacting Pennsylvania physicians and medical practices/health systems.</p> Rule Would Increase False Claims and Anti-Kickback Penalties<p>​On June 30, 2016, the U.S. Department of Justice (DOJ) published an interim final rule which would increase civil monetary penalties assessed or enforced by components of the DOJ. Health care providers, among others, would see a twofold rise in penalties assessed for violations of the False Claims Act as well as the Anti-Kickback Act.<br></p> Consult: OIG Fraud Alert (PDF)<p>A fraud alert in 2014 focused on two types of compensation arrangements between clinical laboratories and referring physicians – blood-specimen processing arrangements and registry payments.</p>Physicians;# Medicare and Medicaid Fraud and AbuseA free brochure from the federal government can help keep physicians out of trouble.Physicians;#Practice Administrators;#

Norcal Mutual Mutual