Five primary federal fraud and abuse laws

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Questions

1. Of the five primary federal fraud and abuse laws, which two deal with conflict of interest? Why are they important to health care and why do managers need to understand these laws?

2. A physician and his colleague decide to set up a laboratory owned by a dummy corporation in their wive's names and begin to refer patients to this laboratory. What (if any) laws have they violated?

3. A psychiatrist bills for 10 hours of psychotherapy and medication checks for a deceased woman. Has he committed fraud or abuse and provide supportive evidence? Can the deceased woman's estate press charges if the bills were sent to Medicare, and not to the family?

Reference no: EM133459805

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