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Medicare Compliance & Reimbursement

False Claims Act:

SCOTUS Draws Boundaries for FCA and Future Liability

Published on Fri Sep 09, 2016

Hint: Common law takes into account both acts of commission and omission. Can fraud be implied or does it have to be perceptible? Do your providers have the certification they need to justify their medical decision making and subsequent billing? Can payers withhold payment if they become aware of non-compliance with certification requirements? A recent U.S. Supreme Court judgement provides [...]
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