“7 Key Healthcare Fraud & Abuse Laws”
Fraud & Abuse Laws That Protect Patients and Taxpayers
A quick-reference guide to the most important federal statutes used to fight medical fraud, with a focus on Healthcare Fraud & Abuse Laws.
| 🏛️ Law | 📝 Summary |
|---|---|
| ⚖️ False Claims Act | Holds providers accountable for knowingly submitting false claims to Medicare or Medicaid. |
| 💰 Anti-Kickback Statute | Prohibits offering or receiving financial incentives for patient referrals. |
| 🩺 Stark Law | Prevents physicians from referring patients to entities they have a financial interest in. |
| 🧾 Civil Monetary Penalties Law | Imposes fines for various types of fraud and abuse, including improper billing. |
| 🚫 Exclusion Authority | Bars individuals or entities from federal healthcare programs due to misconduct. |
| 🛡️ Safe Harbors | Defines exceptions to Anti-Kickback rules for legitimate business arrangements. |
| 📣 Whistleblower Protections | Protects individuals who report fraud from retaliation. |
Why It Matters:
Medical fraud leads to unnecessary treatments, inflated costs, and compromised patient care. These healthcare fraud and abuse laws empower patients, whistleblowers, and advocates to take action.
Learn More:
Visit Medical Fraud Exposed for full articles, reporting tips, and downloadable resources regarding key healthcare laws.