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How to Avoid False Claims Act Violations

January 05, 2018
Compliance By Harriett Wall

On December 28, 2017, HealthcareITNews reported the DOJ recovered more than $3.7 billion in 2017 from false claims and fraud, including settlements from hospitals, physicians, clinical laboratories and other providers and health industry vendors. The $3.7 billion is tallied from federal recoveries only; millions more were recovered on behalf of State Medicaid programs. Read the entire article here.

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Serious consequences result from violating the False Claims Act. Examples of practices that constitute a violation include:

  • Billing for services not rendered
  • Submitting claims for patients who do not exists
  • Offering or taking incentives, known as kickbacks, in exchange for referrals or other perks
  • Billing for unnecessary care

Don’t be caught out of compliance!  If you would like a fresh, external look at your paid claims, LW Consulting, Inc. is here to help.  Our US-based auditors are all credentialed and ready! Please email me if you would like to discuss your situation. I can be reached at hwall@lw-consult.com.

Don't be caught out of compliance in 2018. LW Consulting, Inc. is here to help.

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