HSM 546 Fraud Abuse Threaded Discussions 2 Week 5 Keller

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HSM 546 Fraud Abuse Threaded Discussions 2 Week 5 Keller
What steps should be taken to mitigate exposure and liability when the federal government shows up to audit a healthcare organization? …

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HSM 546 Fraud Abuse Threaded Discussions 2 Week 5 Keller

HSM 546 Fraud Abuse Threaded Discussions 2 Week 5 Keller

HSM 546 Fraud and Abuse Discussions 2 Week 5 All Posts 48 Pages Keller

What steps should be taken to mitigate exposure and liability when the federal government shows up to audit a healthcare organization?  There are a number of civil and criminal statutes that deal with false claims. The Medicare and Medicaid fraud and abuse law; the mail fraud statute 18 U.S.C.A. §1341; laws prohibiting persons from knowingly making or presenting false or fraudulent claims to the U.S. government, 18 U.S.C.A. §287; statutes prohibiting the making of false or fraudulent statement or representation, 18 U.S.C.A. § 1001; and wire fraud, 18 U.S.C.A. § 1343; Secondary offenses such as aiding and abetting, 18 U.S.C.A. § 2, conspiracy, 18 U.S.C.A. § 371; and theft of government property, 18 U.S.C.A. § 1961-68 are also some possible charges. And let’s not forget the RICO statutes. So you can see that the government does not take fraud and abuse lightly.  So what can you do before an audit to reduce liability for your organization?  Some folks have mentioned a compliance officer. What would be the duties of this compliance officer?  The main question is titled fraud and abuse but there is a difference – what is that difference?