Compliance: Avoid Fraud Problems By Understanding These 3 Fraud Laws

Why This Topic Matters

Understanding these laws helps healthcare organizations reduce fraud-and-abuse risk, avoid improper referral and billing practices, and prepare for audits, repayments, penalties, or program exclusions.

Article Sections

1. Take A Look At Kickbacks

   Introduces the Anti-Kickback Statute and summarizes the general compliance concerns surrounding referral-related incentives and enforcement.

2. How Is Stark Different?

   Explains the Physician Self-Referral Law and discusses how it differs from the Anti-Kickback Statute in scope, enforcement, and applicability.

3. Remember False Claims Penalties Add Up Fast

   Covers the False Claims Act, common billing and coding risk areas, and general compliance measures used to reduce exposure.

4. Get Legal Help Upfront

   Describes when practices should seek legal support and what areas of experience are relevant when choosing counsel for healthcare compliance issues.