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《虚假索赔法》:调查、违规行为及处罚的增加

The False Claims Act: Increases in Investigations, Violations, and Penalties.

作者信息

Singleton Jeana, Meek Bryan

出版信息

J Med Pract Manage. 2016 Sep;32(2):143-145.

Abstract

The False Claims Act is a tool used by the government, its contractors, and even employees of healthcare providers to recover overpayments and other improper reimbursements given to physicians for healthcare services provided to Medicare and other federal health program beneficiaries. In recent years, we have seen an increase in the number of False Claims Act cases filed against unsuspecting healthcare providers and practices. These cases have resulted in billions of dollars being paid back to the federal government. Knowing and understanding the requirements of the False Claims Act and implementing best practices and strategies to avoid violating any of these provisions will help practices to ensure that they do not become subject to the massive penalties imposed on violators.

摘要

《虚假索赔法》是政府、其承包商乃至医疗服务提供商的员工用来追回因向医疗保险和其他联邦医疗项目受益人提供医疗服务而多付给医生的款项及其他不当报销费用的一种手段。近年来,我们看到针对毫无防备的医疗服务提供商和医疗机构提起的《虚假索赔法》案件数量有所增加。这些案件已导致数十亿美元被返还给联邦政府。了解并理解《虚假索赔法》的要求,实施最佳实践和策略以避免违反其中任何条款,将有助于医疗机构确保自身不会受到对违规者施加的巨额处罚。

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