Health Care Compliance: Overview | Practical Law

Health Care Compliance: Overview | Practical Law

A Practice Note summarizing the key elements of an effective compliance program under the Affordable Care Act. This Note covers the Seven Elements of an effective compliance program as outlined by the Department of Health and Human Services (HHS), Office of Inspector General (OIG) and Department of Justice (DOJ). It offers guidance about minimizing compliance risks and avoiding liability under the False Claims Act (FCA), Stark Law, and Anti-Kickback Statute. This Note covers criminal prosecutions for health care fraud and exclusion from federal and state health care benefits programs. It is based on federal law with references to state laws where applicable.

Health Care Compliance: Overview

Practical Law Practice Note Overview w-020-2253 (Approx. 31 pages)

Health Care Compliance: Overview

by Practical Law Health Care
MaintainedUSA (National/Federal)
A Practice Note summarizing the key elements of an effective compliance program under the Affordable Care Act. This Note covers the Seven Elements of an effective compliance program as outlined by the Department of Health and Human Services (HHS), Office of Inspector General (OIG) and Department of Justice (DOJ). It offers guidance about minimizing compliance risks and avoiding liability under the False Claims Act (FCA), Stark Law, and Anti-Kickback Statute. This Note covers criminal prosecutions for health care fraud and exclusion from federal and state health care benefits programs. It is based on federal law with references to state laws where applicable.