Question

What are some of the laws governing Medicare Parts C and D Fraud and Abuse (FA)?

1) The False Claims Act
2) The Anti-Kickback Statute
3) The List of Excluded Individuals and Entities (LEIE)
4) The Health Care Fraud Statute

Answer 1

The laws governing Medicare Parts C and D Fraud and Abuse include the False Claims Act, Anti-Kickback Statute, List of Excluded Individuals and Entities (LEIE), and Health Care Fraud Statute.

Step-by-step explanation:

The laws governing Medicare Parts C and D Fraud and Abuse (FA) include:

1. The False Claims Act
2. The Anti-Kickback Statute
3. The List of Excluded Individuals and Entities (LEIE)
4. The Health Care Fraud Statute

These laws aim to prevent and penalize fraudulent activities related to Medicare Parts C and D. The False Claims Act imposes liability for knowingly submitting false claims to obtain payments from the government, while the Anti-Kickback Statute prohibits offering or receiving kickbacks in exchange for referrals. The LEIE lists individuals and entities excluded from participating in federal healthcare programs, and the Health Care Fraud Statute specifically targets fraudulent healthcare practices.