Healthcare Fraud and Abuse Compliance Resource Kit


Summary

This resource kit is intended to help attorneys navigate Practical Guidance and find resources addressing key healthcare fraud and abuse issues related to their representation of healthcare organizations. Organizations within the heavily regulated healthcare industry, including hospitals and health systems, ambulatory surgery centers, nursing homes and long-term care facilities, medical groups, managed care organizations, and health insurers, must maintain compliance with federal and state fraud and abuse statutes and regulations impacting their day-to-day work. Among these are the federal anti-kickback law, physician self-referral (Stark) law, and the False Claims Act (FCA). In addition, most states have their own versions of these laws. The following resources will guide you through the fundamentals of the fraud and abuse laws and provide guidance on compliance, including how to develop and implement compliance plans within healthcare organizations. This resource kit includes ...