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Akron Univ. School of Law

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Monday, November 29, 2010

OIG Issues Roadmap on Avoiding Medicare and Medicaid Fraud and Abuse for New Physicians

A new resource and educational guide for new physicians to help them better understand the key Federal fraud and abuse laws has been issued by the U.S. Department of Health and Human Services, Office of Inspector General (OIG). Bob Coffield at Health Care Law Blog reports:

The new OIG document is titled, "Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse." The physician education roadmap document summarized the five main Federal fraud and abuse laws, including the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law. The roadmap document provides tips to physicians on how they should comply with these laws in their relationships with payers (like the Medicare and Medicaid programs), relationships with vendors (like drug, biologic, and medical device companies), and relationships with fellow providers (like hospitals, nursing homes, and physician colleagues).

The roadmap guide was developed as a result of a survey conducted by OIG of medical school deans and designated institutional officials at institutions that sponsor residencies and fellowships to learn what types of instruction medical students, residents, and fellows receive on Medicare and Medicaid fraud, waste, and abuse. Nearly all respondents (92% of deans and 90% of designated institutional officials) reported they would like OIG to provide educational materials they can use. The complete survey, "Medicare and Medicaid Fraud and Abuse Training in Medical Education," was recently issued in October, 2010.

You can view online or download a PDF version of the roadmap guidance materials.

http://lawprofessors.typepad.com/healthlawprof_blog/2010/11/oig-issues-roadmap-on-avoiding-medicare-and-medicaid-fraud-and-abuse-for-new-physician.html

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