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Dec 12, 2024
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LAW 6337 Health Care Fraud and Abuse Regulation 3 Hours
With federal healthcare programs such as Medicare and Medicaid providing healthcare coverage for Americans, a body of laws have developed to ensure that individuals and organizations that provide services to Medicare/Medicaid beneficiaries are not defrauding or abusing such programs either by billing the government for services that were not provided or were not medically necessary. This course will focus primarily on the federal Antikickback Statute, the Physician Self-Referral Statute (commonly known as the Stark Law), the False Claims Act, and the Civil Monetary Penalties Law, examining the basic framework behind the laws, the complex legal structures and arrangements that result from complying with such laws, and the steep penalties assessed for failure to comply.
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