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Medicare Compliance and Fraud Prevention

Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse
An important report from Health & Human Services' Office of the Inspector General (OIG)

OIG has developed a Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse . The Roadmap summarizes the five main Federal fraud and abuse laws (the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law) and provides tips on how physicians should comply with these laws in their relationships with payers (like the Medicare and Medicaid programs), relationships with vendors (like drug, biologic, and medical device companies), and relationships with fellow providers (like hospitals, nursing homes, and physician colleagues).

The Roadmap is available at http://oig.hhs.gov/fraud/PhysicianEducation.  Note that the web link provides additional resources, such as a companion slideshow and speaker notes.