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Federal Fraud and Abuse Laws

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Academic year: 2021

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Fraud, Waste and Abuse

• WASTE

– Includes incurring unnecessary costs as a result of  deficient management, practices, systems, or 

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A project of L.A. Care Health Plan

FCA – Meaningful Use

• Attestation Statements: 

– The information submitted for CQMs was generated  as output from an identified certified EHR technology

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Compliance Program

• A compliance plan helps establish policies and  procedures to prevent fraud and abuse

• Utilize Federal Sentencing Guidelines

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References

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