Identification and Correction of Medicare Fraud, Waste and Abuse

Understand the Medicare fraud, waste, and abuse laws and how to avoid potential penalties.

In today’s health care environment, federal laws and regulations combat fraud and abuse to ensure that federal funds are used to ensure appropriate and quality healthcare. While most health care providers work to provide appropriate and high quality health care, the federal government has programs to ensure that those providers seeking to take advantage of the health care programs for illegal personal gain will have consequences. Failing to comply with Medicare fraud, waste and abuse laws can subject health care providers to significant civil monetary penalties as well as possible criminal penalties. This topic will explain the laws subjecting health care providers to potential penalties if they commit Medicare fraud, waste, and abuse. The material will also explain what relationships raise potential problems for those providers as to raising Medicare fraud, waste and abuse penalty; as well as what providers can do to avoid problems and what to do if a provider thinks it may have a problem. Failing to understand Medicare fraud, waste and abuse laws can place providers at risk of both civil monetary penalties as well as criminal penalties. This topic will help providers and their staff, as well as legal counsel assisting providers understand the Medicare fraud, waste, and abuse laws, and what can be done to avoid potential liability in criminal, civil, and administrative enforcement actions.

Faculty

Denise Bloch

Sandberg Phoenix & von Gontard P.C.