fraud and abuse law


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fraud and abuse law

A statute that regulates the appropriateness of health care provider behavior in billing practices, receipt of payments, and provision of medically necessary services.
See also: law
References in periodicals archive ?
In for-profit health care systems, this often takes the form of profit-sharing or granting stock options, provided such a plan satisfies the exceptions under the Stark Bill and the safe harbors under the Medicare/ Medicaid fraud and abuse laws.
The provisions would provide the necessary clarity to allow hospitals, medical groups and others to donate HIT to physicians, removing the roadblocks to HIT adoption that have been created by Medicare fraud and abuse laws, the letter states.
Consequently, the essential elements of a violation of the fraud and abuse laws are present: remuneration in the form of accepting less than normal charge in exchange for a stream of referrals.