A. Providers can decrease the risk of False Claims Act liability by building and maintaining a culture of compliance in all aspects of their business. For example, suppliers should keep abreast of changes in federal health care program (e.g., Medicare) regulations and ensure that their employees and contractors receive current and refresher training on relevant requirements.
Providers should also have (and enforce) compliance policies and procedures that are in harmony with laws, regulations and supplier standards. Additionally, periodic self-audits will help suppliers identify and correct potential issues. Key risk areas include accreditation, marketing practices, billing, documentation of medical necessity, and referral relationships.
CONTINUE READING HERE