decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
False Claims Act / Justice Dept. guidelines
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Article Overview
This short article covers Justice Department guidance issued in 1998 regarding civil False Claims Act enforcement in health care fraud matters. It is relevant to compliance staff, auditors, health care attorneys, and coding professionals who monitor fraud-and-abuse policy and enforcement trends. The piece focuses on the purpose of the guidance and the audiences it was directed to, without providing procedural coding instructions.
Why This Topic Matters
Understanding this guidance can help readers place health care False Claims Act enforcement in context and recognize the compliance and legal environment surrounding coding and billing practices.
What You Will Learn
- The general purpose of the Justice Department guidance
- Who the guidance was directed to
- How the article frames civil False Claims Act enforcement in health care settings
- The compliance and enforcement context described in the memo
Who Should Read This
- Compliance professionals
- Health care attorneys
- Medical auditors
- Coding professionals
- Revenue integrity staff
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