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How to Avoid False Claims Act Violations

January 05, 2018
Compliance By Harriett Wall, Chief Operating Officer, Chief Compliance Officer, Principal

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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