Medicaid/Medicare fraud and abuse: practical guidelines for physicians.
Administrative and judicial interpretation of the Medicare and Medicaid Fraud and Abuse laws--particularly provisions on illegal referrals--pose a threat to physicians considering new business arrangements. This article sets out examples of arrangements likely to avoid claims of Fraud and Abuse and shows how certain modifications may substantially increase the risk of government charges of illegal referrals.
D003415:Crime; D005607:Fraud; D006759:Hospital-Physician Joint Ventures / Q000331:legislation & jurisprudence; D006761:Hospitals; D008484:Medicaid / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence*; D010816:Physician Incentive Plans / Q000331:legislation & jurisprudence; D010820:Physicians; D012017:Referral and Consultation / Q000331:legislation & jurisprudence*; D014481:United States