decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
OIG Model Compliance Plan / Common Fraud and Abuse Concerns / Common Fraud and Abuse Concerns
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Article Overview
This short article introduces broad compliance issues that providers should address within an individual compliance plan. It is aimed at readers who need a general understanding of common fraud and abuse risk areas and the role of compliance planning, without delving into code-specific guidance or detailed examples.
Why This Topic Matters
Understanding common fraud and abuse concerns helps organizations recognize baseline compliance responsibilities and determine whether the full article is relevant to their operations and compliance program.
What You Will Learn
- The general purpose of addressing common fraud and abuse concerns in a compliance plan.
- How this topic fits into provider compliance planning.
- The type of compliance guidance the article is intended to support.
- The broad focus of the article as a starting point for risk management review.
Who Should Read This
- Providers
- Compliance officers
- Billing and coding staff
- Practice administrators
- Healthcare compliance teams
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