Compliance & RegulatoryPregunta 87 de 100
The federal False Claims Act imposes liability primarily on those who:
a.Knowingly submit, or cause to be submitted, false or fraudulent claims for payment to the government
b.Submit any claim that is later denied
c.Charge a patient a copayment
d.Use an outdated fax machine
Explicación
The False Claims Act creates liability for knowingly presenting false or fraudulent claims to federal programs such as Medicare and Medicaid, including billing for services not rendered or upcoding. 'Knowingly' includes acting with reckless disregard or deliberate ignorance, not just actual knowledge. Penalties can include substantial fines and multiplied damages.
Referencia Legal: False Claims ActPractica las 100 preguntas gratis — sin registro.
Preguntas relacionadas de este tema
- A 'business associate' under HIPAA is:
- Under HIPAA, a patient generally has the right to:
- The HIPAA transactions and code sets standards were established to:
- A 'qui tam' provision under the False Claims Act allows:
- The federal Anti-Kickback Statute prohibits:
- The physician self-referral law (the Stark Law) generally prohibits a physician from:
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