Federal Fraud Enforcement and Physician Compliance
These resources provide a brief overview of the
fraud enforcement climate facing physicians who provide care for
patients who are insured through federal health benefits programs.
The document also provides the basic structure that physicians and
others may follow for establishing a compliance program that can
be incorporated into their practices. Establishing and maintaining
a compliance plan will help physicians in avoiding activities that
could be attacked under the fraud and abuse laws and by ensuring
that their claims cannot be categorized as being fraudulently
submitted.
AMA legal issues - compliance issues - Overview of
Medicare fraud and abuse enforcement and compliance.
Summary of Health Care Federal Fraud and Abuse Laws