I Know What We’re Doing is Wrong I Need My Paycheck

Why This Topic Matters

It helps readers understand the broader legal and compliance risks associated with suspected fraudulent or abusive billing practices and the importance of proper oversight in health care settings.

Article Sections

1. Fraud and abuse concepts

   Introduces general categories of conduct that may be viewed as fraudulent or abusive in health care billing and reimbursement.

2. Potential liability and reporting concerns

   Discusses concerns about remaining involved when suspected misconduct is present and the general risk perspective described in the article.

3. Misprision of a Felony and related federal exposure

   Summarizes a federal criminal statute and mentions judicial interpretation discussed in the article.

4. False Claims Act and related penalties

   Provides a high-level overview of civil and criminal false claims exposure and related enforcement themes.

5. Exclusion Statute and OIG responsibilities

   Covers federal exclusion requirements, related program participation issues, and screening obligations for practices and contractors.