Health care programs: fraud and abuse; revised PRO sanctions for failing to meet statutory obligations--HHS. Final rule.
This final rule addresses revised procedures governing the imposition and adjudication of program sanctions, based on recommendations from State utilization and quality control peer review organizations (PROs), resulting from enactment of sections 214 and 231(f) of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
D005607:Fraud / Q000331:legislation & jurisprudence*; D006282:Health Personnel / Q000331:legislation & jurisprudence*; D006300:Health Services Misuse / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000331:legislation & jurisprudence; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000592:standards; D015442:Medicare Assignment / Q000331:legislation & jurisprudence*; D011366:Professional Review Organizations; D014481:United States; D014483:United States Dept. of Health and Human Services