家庭保健机构:反欺诈和滥用调查的目标。

Health care law newsletter Pub Date : 1995-08-01
C Richardson
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引用次数: 0

摘要

越来越多的医疗欺诈和滥用调查可能导致家庭保健机构和其他目标在平衡联邦预算的斗争中成为政治上可以接受的牺牲品。为了保护自己,最好建议家庭保健机构每年进行内部欺诈和滥用审计,并制定公司合规计划(见通讯,第9卷,第7期,1994年7月,第16期,下个月的一期,其中将讨论公司合规方案以及监察长新的自愿披露方案)。此外,家庭保健机构的购买者在收购的尽职调查阶段应特别警惕欺诈和滥用问题,如果发现问题,应考虑向监察长办公室自愿披露和解决由此产生的任何索赔是否是交易的适当条件。
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Home health agencies: targets of anti-fraud and abuse investigations.

Increased health care fraud and abuse investigations could result in home health agencies, and other targets, becoming politically acceptable casualties of war in the battle to balance the federal budget. To protect themselves, home health agencies would be well advised to conduct internal fraud and abuse audits on an annual basis and to develop corporate compliance plans (see Newsletter, Vol. 9, No. 7, July 1994, at 16, and next month's issue, which will discuss corporate compliance programs as well as the OIG's new voluntary disclosure program). In addition, purchasers of home health agencies should be especially vigilant of fraud and abuse problems during the due diligence phase of the acquisition and, if problems are discovered, should consider whether voluntary disclosure to the OIG and settlement of any resulting claims is an appropriate condition of closing.

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