About
This course examines legal issues relevant to healthcare providers that involve health care fraud and abuse regulation. Health care fraud is an intentional attempt to collect money for medical services worngly and abuse pertains to actions which are inconsistent with acceptable business and medical practices. The course will focus on fraud and abuse in the Medicare and Medicaid programs and the four major statutes containing federal fraud and abuse prohibitions. Specific statutes studied include the Anti-Kickback Statute, the Stark law and regulations, the False Claims Act and the Civil Monetary Penalty Act.
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