Q&A: What is fraud?
Compliance Monitor, December 8, 2010
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Q: What is fraud?
A: Fraud includes the following:
- Crimes of guile and deceit
- Intentional and material false statements or representations made to obtain some benefit to which one is not entitled
- Reckless disregard for compliance with statutes, rules, and regulation
- Violations that occur when actions are committed for self or on behalf of another party
- Act performed knowingly, willfully, and intentionally
- Violation that warrant criminal, civil, or administrative action
This week’s question and answer was adapted from The Compliance Officer’s Handbook. For more information about the book or to order your copy, visit the HCMarketplace.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Capturing all necessary codes for IUD insertion and removal can be challenging
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- Q/A: Coding infusions to correct low potassium levels
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- HIPAA Q&A: Level of encryption needed for email
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched
