Jennifer Staman
Legislative Attorney
A number of federal statutes address fraud and abuse in federally funded health care programs, including Medicare and Medicaid. Using these statutes, the federal government has been able to recover billions of dollars lost due to fraudulent activities. Some of the more commonly invoked statutes include the False Claims Act, the anti-kickback statute, and the federal prohibition on physician self-referrals, generally referred to as the Stark law. In addition, program-related civil penalties, criminal penalties, and exclusions from participation in federal health care programs may be imposed on health care providers that engage in certain types of misconduct. This report provides a brief overview of these laws, including examples of prohibited conduct and penalties for violation.
Date of Report: January 25, 2010
Number of Pages: 10
Order Number: RS22743
Price: $29.95
Document available electronically as a pdf file or in paper form.
To order, e-mail congress@pennyhill.com or call us at 301-253-0881.
Tuesday, February 9, 2010
Health Care Fraud and Abuse Laws Covering Medicare and Medicaid: An Overview
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