tci Medicare Compliance & Reimbursement - 2003 Issue 32

Top 4 Bases for Liability Under the False claims act

Learn these federal no-nos and prevent unwitting fraud.When the government cracks down on False Claims Act (FCA) violations, they consistently prosecute these 4 trip-ups. Providers should monitor their claims carefully through each step of the submission process, or they could be accused of federal charges before you even know there's billing amiss. They should keep an eye out for these transgressions: 1. Submitting false claims. According to the FCA, the government doesn't even need to prove that providers personally intended to defraud anyone to pin this violation on them. They hold providers ultimately accountable, and that includes people...

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