Richard Cheng presented for the Home Care 101: 8-Part Webinar Series sponsored by the Texas Association for Home Care & Hospice on August 31, 2017, on the topic "Fraud and Abuse - Avoiding the Pitfalls That Can Be Interpreted as Healthcare Fraud". For more information, please contact Richard at email@example.com.
Health care fraud and abuse continues to be a major focus of the federal government, as demonstrated by the recent enforcement actions. This presentation discusses some of the common pitfalls that agencies, may not be aware, could be considered health care fraud. These include common conduct issues, such as inducement of beneficiaries and/or referral sources, improper ownership structures, improper compensation arrangements, services that could be scrutinized and whistleblower concerns. The presentation also includes a review of civil and criminal penalties and sanctions that may be imposed on agencies found out of compliance, along with practical methods that can be implemented to stay within compliance.