tci Medicare Compliance & Reimbursement - 2020 Issue Q4

Enforcement: Find Out Individual Risks of Healthcare Fraud

Tip: Make compliance with federal regs a priority. It’s no secret that healthcare is a top target of federal enforcers. And with huge takedowns dominating the news, you might think that the nation’s watchdogs only go after management and clinicians — but evidence suggests that the feds are now pursuing auxiliary staff with the same vigor. Context: Preparing and submitting claims for reimbursement is a crucial part of the nation’s healthcare system as it is currently designed. But when the claims are submitted to the government, there are regulations in place to reduce the incidence of...

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