Health Care Fraud and Abuse
Health Care Fraud and Abuse

Author: Aspen Health Law Center

Publisher:

Published: 1998

Total Pages: 156

ISBN-13:

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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.

Members' day
Members' day

Author: United States. Congress. House. Committee on the Budget

Publisher:

Published: 2007

Total Pages: 140

ISBN-13:

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Medicare and Medicaid Participating Facilities
Medicare and Medicaid Participating Facilities

Author: John E. Dicken

Publisher: DIANE Publishing

Published: 2010-02

Total Pages: 90

ISBN-13: 1437916902

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Americans receive care from tens of thousands of health care facilities participating in Medicare and Medicaid. To ensure the quality of care, the Centers for Medicare and Medicaid Services (CMS) contracts with states to conduct periodic surveys and complaint investigations. The auditor evaluated survey funding, state workloads, and fed. oversight of states' use of funds since FY 2000 to determine if fed. funding had kept pace with the changing workload. He analyzed: (1) fed. funding trends from FY 2000 through 2007 and CMS's methodology for determining states' allocations and spending; (2) CMS data on the number of participating facilities and completed state surveys; and (3) CMS oversight of state spending. Includes recommendations. Illus.