Quality Fraud: What Is That?
Recorded Thursday, February 14, 2013
Did you know the OIG now has a Quality CIA webpage? This speaks to the fact that quality itself is a basis for fraud liability. There are two separate bases for liability: (1) actual quality process deficiencies; and (2) fraud in reporting quality to the multiple agencies, state and federal, which require it, or for which providers volunteer as in the PQRS program for physicians in Medicare. This highly focused half hour of lecture with 15 minutes for questions will offer to hospitals and their compliance officers and physician practice groups a much better understanding of looming pitfalls which can be avoided with attention.
Purchase and Download Recorded Teleconference
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This focused, 45 minute teleconference will offer 30 minutes of presentation and 15 minutes for Q & A, plus a substantive handout, addressing:
- "Traditional" bases for quality process fraud: CMPs, exclusions and criminal charges
- The OIG's targeting of hospital boards and the applicability to physician groups
- The Work Plan issues 2009 to 2013 and their significance
- The Department of Justice's interest
- Bases for fraud in quality reports
- What whistleblowers can do
- 8 specific action steps