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CodeMap® Compliance Briefing: November 20, 2013

Editor's Welcome:

The federal government continues to collect record amounts from providers that find themselves on the wrong side of enforcement actions and subsequent settlements. In fact, in fiscal year 2012, the federal government reported that it had won or negotiated over $3.0 billion in health care fraud judgments and settlements. Other reports for fiscal year 2012 indicate the Department of Health and Human Services (DHHS), the Office of Inspector General (OIG), and the Department of Justice (DOJ) allocated over $580 million to combat health care fraud and abuse. Today, we will examine 2 very different enforcement actions that illustrate how the federal government enforces two critical health care fraud and abuse provisions; the Federal Anti-Kickback Statute and the Stark Law. Bot....

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