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(laws that protect against fraud (Ethics in Patient Referrals Act of 1989…
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In addition, discuss whether the health care organizations in this example is properly equipped to ensure compliance and minimize exposure risks. If not why not?
The most significant risk centers on billing and coding of services for reimbursement from Medicare. No one can review every bill or watch over every employee, but basic compliance principles can be adopted to minimize risks. As always, documentation and internal controls are key to ensure compliance ...
There are several things you can do to reduce the risk of False Claims Act liability. First, you should make sure you understand the rules that relate to the services and goods being billed. Information contained in any claim must be as accurate and complete as possible
Overall, I think that organizations are properly equipped to ensure compliance and minimize exposure risk. There is an existing law that outlines what healthcare organizations are allowed to do and not do when it comes to fraud waste and abuse of government resources and it is up to health care organizations to comply .
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From the readings and independent research, find one (1) specific real life legal case example of how kickback arrangements would violate the Stark Law.
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find one (1) specific real life legal case example of a breach of the False Claims Act by a health-related organization.
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