Fraud and Abuse Laws: Cliff Notes Version

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In the highly regulated environment of the DME industry, it is essential that providers comply with federal anti-fraud laws, state anti-fraud laws, supplier standards, accreditation requirements, and guidance from Medicare, Medicaid and commercial insurers. Serious consequences can occur for suppliers who violate one or more of the federal anti-fraud laws. 

In a recent article from Medtrade, the "Cliff Notes" version of the federal anti-fraud guidance is provided and includes information about the following:

  • Stark Physician Self-Referral Statute
  • Anti-Solicitation Statute
  • Beneficiary Inducement Statute
  • Federal Anti-Kickback Statute (“AKS”)
  • Safe Harbors
  • Special Fraud Alerts and Special Advisory Bulletins
  • Advisory Opinions
  • States

Read the full article from Medtrade here.

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