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Author: Aspen Health Law Center Publisher: ISBN: Category : Business & Economics Languages : en Pages : 156
Book Description
Stepped-up efforts to ferret out health care fraud have put every provider on the alert. The HHS, DOJ, state Medicaid Fraud Control Units, even the FBI is on the case -- and providers are in the hot seat! in this timely volume, you'll learn about the types of provider activities that fall under federal fraud and abuse prohibitions as defined in the Medicaid statute and Stark legislation. And you'll discover what goes into an effective corporate compliance program. With a growing number of restrictions, it's critical to know how you can and cannot conduct business and structure your relationships -- and what the consequences will be if you don't comply.
Author: Gebah Sekou Kamara Publisher: Independently Published ISBN: Category : Study Aids Languages : en Pages : 0
Book Description
In businesses, governments, or any system involving resources, processes, and people, fraud, waste, and abuse are three separates but connected ideas that can happen. It takes a complete strategy that combines preventive, detection, and reaction techniques to address fraud, waste, and abuse. Policies, processes, controls, and training programs are put in place by businesses and governments to stop fraud, deal with waste, and deal with abusive behavior. In addition, procedures including audits, inquiries, hotlines for reporting fraud, waste, and abuse, and disciplinary measures, are employed to identify and address fraud, waste, and abuse incidents when they arise. Encouraging openness, responsibility, and moral conduct is crucial for reducing the dangers of fraud, waste, and misuse and cultivating an honest culture in businesses and society at large.