28 Feb 2023
Successfully Navigating Healthcare Fraud and Abuse Laws
Gain a comprehensive understanding of the principal methods used by the federal government to police overutilization and fraud in the Medicare and Medicaid programs with this practice note from Practical Guidance – Healthcare. Advise your clients on the essential elements of a fraud and abuse compliance plan and learn best practices in implementing compliance plans to prevent statutory violations. Get up to speed on the statutory penalties for Medicare and Medicaid fraud and learn how an effective compliance plan can serve as a good faith defense to prosecution.
Related Content
- Anti-Kickback Statute and False Claims Provisions of Federal Fraud and Abuse Laws
Refresh your recollection of the conduct proscribed by the federal Fraud and Abuse Statute, 42 U.S.C. § 1320a-7b(a) and review the anti-kickback and false claims provisions of federal healthcare fraud and abuse laws, the regulations that implement their enforcement, and the important cases that interpret these laws. - Stark III: Tightening the Stark Physician Self-Referral Prohibitions
Identify the key revisions to the federal physician self-referral (Stark) law made by the Stark III Regulations. Learn, for example, how the Centers for Medicare and Medicaid Services (CMS) fortified existing Stark law restrictions by expanding the law’s scope to include physician organizations such as a referring physician's professional corporation, physician practice, or group practice. See also how providers may self-disclose violations under the law’s self-referral disclosure protocol. - Federal Anti-Kickback Statute: Scope and Elements of the Law Video
Get up to speed on the scope and elements of the Anti-Kickback Statute in this video (one in a four-part series) from Foley & Lardner partner Kyle Y. Faget.
Practical Guidance Updates
Featuring the latest updates from your Practical Guidance account.
- Legal Developments provide the latest updates and analyses of emerging topics impacting healthcare. Visit the Legal Developments page to see breaking healthcare legal news—notably on the U.S. Supreme Court’s Dobbs decision—and related Practical Guidance content.
- Listen Up! The Practical Guidance and Law360 Podcasts Resource Kit features interviews with industry-leading attorneys on cutting edge issues in the law: NFTs, Cannabis, COVID-19, and more.
- The Practical Guidance Journal Archived 2022 Summer Edition leads with an article on ransomware issues in the healthcare industry and includes LexisNexis Legal & Professional resources to support the people of Ukraine.
- Check out the new Practical Guidance Author Center! Learn about the 1750+ leading attorney authors contributing to our 22 practice areas, and find out how you can Become a Practical Guidance Author.
- Document alerts allow you to stay current on legal developments that affect your practice. Find out how to set up your document alerts.
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