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Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse

“HHS OIG conducted a survey to learn what types of instruction medical students, residents, and fellows receive on Medicare and Medicaid fraud, waste, and abuse. OIG developed a document that summarizes the five main Federal fraud and abuse laws and provides tips on how physicians should comply with these laws. Take a look at the Roadmap.”

  • “Medicare and Medicaid fraud and abuse cost U.S. taxpayers billions of dollars each year and put the programs’ beneficiaries’ health and welfare at risk. No current law requires medical schools and institutions offering physician residency or fellowship programs to provide instruction on compliance with Medicare and Medicaid laws aimed at preventing fraud and abuse. OIG has dedicated significant resources to promoting the adoption of compliance programs and encouraging health care providers to incorporate integrity safeguards into their organizations as an essential component of a comprehensive antifraud strategy. Among the Federal statutes addressing fraud and abuse are the civil False Claims Act, the anti-kickback statute, and the physician self-referral statute.”
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