Balanced Budget Act of 1997 / Other fraud and abuse provisions

Article Overview

This article covers several fraud, abuse, conflict-of-interest, and disclosure provisions tied to the Balanced Budget Act of 1997. It discusses program integrity requirements affecting Medicaid and Medicare administration, reporting mechanisms for suspected abuse, amendments involving asset-disposition counseling related to Medicaid eligibility, and public disclosure obligations connected to hospital relationships with home health agencies. It is useful for compliance staff, auditors, coders working with policy reference material, and healthcare organizations that need a general understanding of the statutory topics addressed in the article.