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CodeMap® 11/17/2021: Fraud and Abuse Basics, Part 3

CodeMap® Compliance Briefing: November 17, 2021


Editor's Welcome

Today, we will conclude our 3-part review of the complex fraud and abuse provisions, which apply to providers participating in federally funded health care programs. As you will remember, earlier this fall, we discussed in detail the Federal Anti-Kickback Statute, and then later the Stark Self-Referral Prohibitions. Today's CodeMap® Compliance Briefing will explore the Civil False Claims, which is the federal government's primary enforcement tool in combating health care fraud and abuse. Interestingly, the US Department of Justice (DOJ) will often use the Civil False Claims Act to pursue providers accused of violating federal anti-kickback provisions and/or the Stark Law. The D....

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