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《虚假申报法案概述及其对神经科医生的影响》。

False Claims Act Overview and Implications for Neurologists.

出版信息

Continuum (Minneap Minn). 2021 Jun 1;27(3):767-772. doi: 10.1212/CON.0000000000000976.

Abstract

The US Department of Health and Human Services Office of the Inspector General identifies the five most important federal fraud and abuse laws that are most applicable to physicians: the False Claims Act, the Anti-Kickback Statute, the Physician Self-Referral Law (Stark Law), the Exclusion Authorities, and the Civil Monetary Penalties LawThe False Claims Act is the US government's primary tool for combating fraud perpetrated through the filing of false claims for federal government reimbursement. Neurologists and companies serving the needs of neurologic patients have not been immune from False Claims Act-related legal action. This article provides an overview of the False Claims Act, uses real-life neurologic cases to illustrate the range of False Claims Act violations and recoveries, and offers some practical compliance suggestions.

摘要

美国卫生与公众服务部监察长办公室确定了 5 项最重要的、最适用于医生的联邦欺诈和滥用法规:《虚假索赔法案》《反回扣法规》《医师自我推荐法规(斯塔克法)》《排除法规》和《民事货币处罚法》。《虚假索赔法案》是美国政府打击通过提交虚假联邦政府报销申请进行欺诈的主要工具。神经病学家和为神经病患者提供服务的公司也未能免受与《虚假索赔法案》相关的法律诉讼。本文概述了《虚假索赔法案》,使用真实的神经病学案例说明了《虚假索赔法案》违规和追回的范围,并提供了一些实用的合规建议。

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