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CodeMap® 07/10/2019: The Civil False Claims Act

CodeMap® Compliance Briefing: July 10, 2019

Editor's Welcome

The Civil False Claims Act is the federal government's primary enforcement and litigation tool in combating health care fraud and abuse. The Department of Justice and other enforcement agencies rely heavily on these provisions for several reasons including the government's burden of proof is less than with criminal provisions and, as we will discuss, sanctions and penalties for violating these civil provisions are substantial. Laboratories and pathologists must be aware of the Civil False Claims Act and the types of conduct that can trigger enforcement actions and prosecutions. As always, please send your questions, comments, and suggestions to us via email.

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* The responsibility for the content of any "National Correct Coding Policy" included in this product is with the Centers for Medicare and Medicaid Services and no endorsement by the AMA is intended or should be implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, nonuse, or interpretation of information contained in this product.

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