This document summarizes various fraud and abuse laws including the Federal False Claims Act, the Stark laws, and the Federal Anti-Kickback Statute. It provides an overview of these laws and regulations, details penalties for noncompliance, and discusses recent case law examples. The document also covers compliance issues and exceptions like the physician recruitment safe harbor.
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Fraud And Abuse Legislation
1. FRAUD AND ABUSE LEGISLATION: AN UPDATE OF THE CURRENT CASE LAW William Mack Copeland
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5. Total Transfers/Deposits by Recipient FY 2004 $1,756,327,135 TOTAL *** Source: The Department of Health and Human Services and The Department of Justice, Health Care Fraud and Abuse Control Program Annual Report For FY 2004, Sept. 2005. $82,867,287 Relators’ Payments** 13,329,719 13,296,625 12,214,034 7,308,459 5,533,522 3,629,740 3,645,279 $ 58,957,378 Restitution/Compensatory Damages to Federal Agencies Office of Personnel Management Veterans Administration Administration for Children and Families HHS/OIG Investigative Costs TRICARE Bureau of Primary Health Care Other Agencies Subtotal 47,358 304,768,588 11,471,529 0 354,205,714 141,350,000 802,659,281 1,614,502,470 Department of the Treasury HIPAA Deposits to the Medicare Trust Fund Gifts and Bequests Amount Equal to Criminal Fines Civil Monetary Penalties Asset Forfeiture * Penalties and Multiple Damages Centers for Medicare and Medicaid Services OIG Audit Disallowances - Recovered Restitution/Compensatory Damages Subtotal