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1
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84890922026
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Department of Justice Accessed at July 1, 2010
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Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2001. Accessed at http://oig.hhs.gov/publications/docs/hcfac/HCFAC%20Annual%20Report%20FY%202001. htm, July 1, 2010.
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Health Care Fraud and Abuse Control Program: Annual Report for FY 2001
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-
2
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84890951703
-
-
Department of Justice Accessed at July 1, 2010
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Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2002. Accessed at http://oig.hhs.gov/publications/docs/hcfac/HCFAC%20Annual%20Report%20FY%202002. htm, July 1, 2010.
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Health Care Fraud and Abuse Control Program: Annual Report for FY 2002
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3
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84890949977
-
-
Department of Justice at 8-9. Accessed at July 1, 2010
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Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2006 at 8-9. Accessed at http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2006.pdf, July 1, 2010.
-
Health Care Fraud and Abuse Control Program: Annual Report for FY 2006
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-
-
4
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-
84890956123
-
-
Department of Justice at 15. Accessed at July 1, 2010
-
Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2008 at 15. Accessed at http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2008.pdf, July 1, 2010.
-
Health Care Fraud and Abuse Control Program: Annual Report for FY 2008
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-
-
5
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-
84890960508
-
-
Department of Justice at 15. Accessed at July 1, 2010
-
Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2009 at 15. Accessed at http://oig.hhs.gov/publications/docs/hcfac/hcfacreport2009.pdf, July 1, 2010.
-
Health Care Fraud and Abuse Control Program: Annual Report for FY 2009
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7
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-
84946871990
-
Improper Medicare FFS Payments Report
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November at 57. Accessed at June 29, 2010
-
Department of Health and Human Services. Improper Medicare FFS Payments Report. In: HS's fiscal year 2009 agency financial report, November 2009, at 57. Accessed at www.hhs.gov/afr/2009sectii-financial.pdf, June 29, 2010.
-
(2009)
HS's Fiscal Year 2009 Agency Financial Report
-
-
-
9
-
-
84890921035
-
-
H.R. 3590 (2010)
-
H.R. 3590 (2010).
-
-
-
-
10
-
-
84890923914
-
-
H.R. 4872 (2010)
-
H.R. 4872 (2010).
-
-
-
-
11
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-
84890892679
-
-
Accessed at June 29, 2010
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AARP Public Policy Institute. Attacking waste, fraud, and abuse in health reform. Accessed at http://assets.aarp.org/rgcenter/ppi/health-care/fs186- fraud.pdf, June 29, 2010.
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Attacking Waste, Fraud, and Abuse in Health Reform
-
-
-
12
-
-
84890962109
-
-
42 U.S.C. § 1395i(k)(8)(A) (2010)
-
42 U.S.C. § 1395i(k)(8)(A) (2010).
-
-
-
-
15
-
-
84890902005
-
-
42 U.S.C § 1395cc(j)(1)(A) (2010)
-
42 U.S.C § 1395cc(j)(1)(A) (2010).
-
-
-
-
16
-
-
84890896621
-
-
Id. at § 1395cc(j)(2)(B)
-
Id. at § 1395cc(j)(2)(B).
-
-
-
-
17
-
-
84890953644
-
-
Id. at § 1395cc(j)(5)(A)
-
Id. at § 1395cc(j)(5)(A).
-
-
-
-
18
-
-
84890943971
-
-
Id. at §1395cc(j)(2)(D)
-
Id. at §1395cc(j)(2)(D).
-
-
-
-
19
-
-
84890956942
-
-
31 U.S.C. § 3729 (2010)
-
31 U.S.C. § 3729 (2010).
-
-
-
-
21
-
-
84890959510
-
-
31 USCS § 3729(a)(1)(A)
-
31 USCS § 3729(a)(1)(A).
-
-
-
-
23
-
-
84890904907
-
-
42 U.S.C. § 1320a-7a(a) (2010)
-
42 U.S.C. § 1320a-7a(a) (2010).
-
-
-
-
24
-
-
84890962630
-
-
Id. at § 1320a-7a(a),(8),(9),(12)
-
Id. at § 1320a-7a(a),(8),(9),(12).
-
-
-
-
25
-
-
84890900134
-
-
H.R. 3590 § 6402(a)
-
H.R. 3590 § 6402(a).
-
-
-
-
26
-
-
84890945310
-
-
42 U.S.C. § 1320a-7b (2010)
-
42 U.S.C. § 1320a-7b (2010).
-
-
-
-
27
-
-
84890949292
-
-
H.R. 3590 § 6402(f)
-
H.R. 3590 § 6402(f).
-
-
-
-
28
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-
84890899960
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-
42 U.S.C § 1320a-7b(b)(1)-(2)
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42 U.S.C § 1320a-7b(b)(1)-(2).
-
-
-
-
29
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0042079887
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Pub. L. no. 105-33, title V, § 4301, 11 Stat. 251
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Balanced Budget Act of 1997, Pub. L. no. 105-33, title V, § 4301, 11 Stat. 251 (1997).
-
(1997)
Balanced Budget Act of 1997
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31
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-
77951918378
-
-
760 F.2d 68 (3d. Cir. 1985)
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United States v. Greber, 760 F.2d 68 (3d. Cir. 1985).
-
United States V. Greber
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33
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84890951703
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Department of Justice Accessed at July 1, 2010
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Department of Health and Human Services, Department of Justice. Health Care Fraud and Abuse Control Program: annual report for FY 2002. Accessed at http://oig.hhs.gov/publications/docs/hcfac/HCFAC%20Annual%20Report%20FY%202002. htm, July 1, 2010.
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Health Care Fraud and Abuse Control Program: Annual Report for FY 2002
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34
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0042079887
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Pub. L. no. 105-33, 111 Stat. 251
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Balanced Budget Act of 1997, Pub. L. no. 105-33, 111 Stat. 251 (1997).
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(1997)
Balanced Budget Act of 1997
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36
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84890928724
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42 C.F.R. § 1001.952 (2010)
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42 C.F.R. § 1001.952 (2010).
-
-
-
-
37
-
-
84890920093
-
-
Id. at § 1001.952(d)
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Id. at § 1001.952(d).
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38
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84890958867
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at 2. Accessed at June 29, 2010
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Medicare Fraud & Abuse
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39
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42 U.S.C. § 1320a-7a(a)(12)
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42 U.S.C. § 1320a-7a(a)(12).
-
-
-
-
40
-
-
84890909646
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-
42 U.S.C. § 1320a-7b(g)
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42 U.S.C. § 1320a-7b(g).
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41
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84890909905
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Transparency Requirements, Healthcare Fraud and Abuse Law Changes, and Program Integrity Provisions Enacted As Part of Health Reform Legislation
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Baim, E.M.1
Bulliet, T.N.2
Dunst, I.P.3
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42
-
-
84890946824
-
-
42 U.S.C. § 1320a-7b(h)
-
42 U.S.C. § 1320a-7b(h).
-
-
-
-
43
-
-
84890914797
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-
51 F.3d 1390 at 1400 (9th. Cir. 1995)
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Hanlester Network v. Shalala, 51 F.3d 1390 at 1400 (9th. Cir. 1995).
-
Hanlester Network V. Shalala
-
-
-
44
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-
84890964414
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-
42 U.S.C. § 1320a-7b(h)
-
42 U.S.C. § 1320a-7b(h).
-
-
-
-
46
-
-
84890937540
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-
42 U.S.C. § 1320a-7b(g)
-
42 U.S.C. § 1320a-7b(g).
-
-
-
-
47
-
-
84890910238
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-
42 U.S.C. § 1320a-7a(i)(6)(A)-(I)
-
42 U.S.C. § 1320a-7a(i)(6)(A)-(I).
-
-
-
-
48
-
-
84890965069
-
-
Id. at § 1320a-7a(a)(5)
-
Id. at § 1320a-7a(a)(5).
-
-
-
-
49
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84890925707
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National Association of Chain Drug Stores. at 1. Alexandria, VA: National Association of Chain Drug Stores
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National Association of Chain Drug Stores. NACDS coupons, rewards programs, and beneficiary inducements, at 1. Alexandria, VA: National Association of Chain Drug Stores; 2010.
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(2010)
NACDS Coupons, Rewards Programs, and Beneficiary Inducements
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-
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50
-
-
84890942988
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-
42 U.S.C. § 1320a-7a(a)(12)
-
42 U.S.C. § 1320a-7a(a)(12).
-
-
-
-
51
-
-
84890958377
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-
Id. at § 1320a-7a(i)(6)
-
Id. at § 1320a-7a(i)(6).
-
-
-
-
52
-
-
84890956584
-
-
Id. at § 1320a-7a(i)(6)(A)
-
Id. at § 1320a-7a(i)(6)(A).
-
-
-
-
53
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-
84890920016
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-
67 Fed. Reg. at 55855.
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Fed. Reg.
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54
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84890925707
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National Association of Chain Drug Stores. at 2. Alexandria, VA: National Association of Chain Drug Stores
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National Association of Chain Drug Stores. NACDS coupons, rewards programs, and beneficiary inducements, at 2. Alexandria, VA: National Association of Chain Drug Stores; 2010.
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(2010)
NACDS Coupons, Rewards Programs, and Beneficiary Inducements
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-
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55
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-
84890907617
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-
42 U.S.C. § 1320a-7a(i)(6)(F)
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42 U.S.C. § 1320a-7a(i)(6)(F).
-
-
-
-
56
-
-
84890893675
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-
Id. at § 1320a-7a(i)(6)(G)
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Id. at § 1320a-7a(i)(6)(G).
-
-
-
-
57
-
-
84890935021
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-
Id. at § 1320a-7a(i)(6)(H)
-
Id. at § 1320a-7a(i)(6)(H).
-
-
-
-
58
-
-
84890924240
-
-
Id. at § 1320a-7a(i)(6)(I)
-
Id. at § 1320a-7a(i)(6)(I).
-
-
-
-
59
-
-
84890955404
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-
Id. at § 1320a-7a(i)(6)(F)
-
Id. at § 1320a-7a(i)(6)(F).
-
-
-
-
60
-
-
84890932154
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-
Id. at § 1320a-7a(i)(6)(G)
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Id. at § 1320a-7a(i)(6)(G).
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-
-
-
61
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84890925707
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National Association of Chain Drug Stores. at 3. Alexandria, VA: National Association of Chain Drug Stores
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National Association of Chain Drug Stores. NACDS coupons, rewards programs, and beneficiary inducements, at 3. Alexandria, VA: National Association of Chain Drug Stores; 2010.
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(2010)
NACDS Coupons, Rewards Programs, and Beneficiary Inducements
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62
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84890963765
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42 U.S.C. § 1395nn (2010)
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42 U.S.C. § 1395nn (2010).
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-
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-
63
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84890910465
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Id. at § 1395nn(a)(1)
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Id. at § 1395nn(a)(1).
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-
-
-
64
-
-
84890925940
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-
Id. at § 1395nn(a)(2)(A), (c)(1), and (d)
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Id. at § 1395nn(a)(2)(A), (c)(1), and (d).
-
-
-
-
65
-
-
84890922471
-
-
Id. at § 1395nn(a)(2)(B) and (h)(1)
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Id. at § 1395nn(a)(2)(B) and (h)(1).
-
-
-
-
66
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-
84890919576
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Id. at § 1395nn(h)(1)(C)
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Id. at § 1395nn(h)(1)(C).
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-
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-
68
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84890956417
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42 U.S.C. § 1395nn(h)(6)
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42 U.S.C. § 1395nn(h)(6).
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-
69
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84890899890
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Id. at §1395nn(g)(3),(4)
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Id. at §1395nn(g)(3),(4).
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71
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63 Fed. Reg. 58399 (1998).
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An Open Letter to Health Care Providers: April 24, 2006
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An Open Letter to Health Care Providers: March 24, 2009
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H.R. 3590 § 6409
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H.R. 3590 § 6409.
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75
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84890950208
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Id. at § 6409(a)(1)
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Id. at § 6409(a)(1).
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76
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84890925092
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Id. at § 6402(b)
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Id. at § 6402(b).
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78
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84890925013
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Id. at 1
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Id. at 1.
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79
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84890944776
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Id. at 9
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80
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84890944648
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at 1. Accessed at July 14, 2010
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Medicare Recovery Audit Contracting
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83
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84890955526
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Id. at 11
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Id. at 11.
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86
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84890964500
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Id. at 11
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Id. at 11.
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87
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88
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84890929083
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Id. at 2
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Id. at 2.
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89
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84890935230
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Id. at 20
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Federal Business Opportunities. Recovery Audit Contractor (RAC). Accessed at www.fbo.gov/index?s=opportunity&mode =form&id= c8c7d4b00249ba579d4d77d64bd0aea&tab=core&-cview=1&cck=1&au= &ck=, July 14, 2010.
-
Recovery Audit Contractor (RAC)
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95
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84890940735
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Id. at 9
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Id. at 9.
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96
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84890944648
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at 40. Accessed at July 14, 2010
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Medicare Recovery Audit Contracting
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84890955068
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42 U.S.C. § 1396a(a)(42) (2010)
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42 U.S.C. § 1396a(a)(42) (2010).
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99
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84890952493
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42 U.S.C. § 1395ddd(h)(3) (2010)
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42 U.S.C. § 1395ddd(h)(3) (2010).
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100
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84890894348
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Id. at § 1395ddd(h)(9).
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Health Law Update: ZPICs: The New Kids on the Medicare Audit Block
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Health Law Update: ZPICs: The New Kids on the Medicare Audit Block
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42 U.S.C. § 1395w-104(c) (2010); Centers for Medicare & Medicaid Services. Medicare Part D medication therapy management (MTM) programs: 2010 fact sheet 1. Accessed at: www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/ MTMFactSheet.pdf, July 21, 2010.
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(2010)
Medicare Part D Medication Therapy Management (MTM) Programs: 2010 Fact Sheet 1
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109
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42 U.S.C. § 1395w-104(c)(2)(A)(i)
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42 U.S.C. § 1395w-104(c)(2)(A)(i).
-
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-
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110
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84890953529
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Id. at § 1395w-104(c)(2)(B)
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Id. at § 1395w-104(c)(2)(B).
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111
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84890895001
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42 C.F.R. 423.153(c)(2) (2010)
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42 C.F.R. 423.153(c)(2) (2010).
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Id. at 423.153(d)(3).
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Id. at 423.153(d)(2)(i).
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115
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84890905459
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42 C.F.R. 423.153(d)(2)(ii)
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42 C.F.R. 423.153(d)(2)(ii).
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116
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84890916660
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42 C.F.R. § 423.153(d)(2)(iii)
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42 C.F.R. § 423.153(d)(2)(iii).
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117
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84890899246
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Id.; 42 C.F.R. § 423.104(d)(3)(iv)
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Id.; 42 C.F.R. § 423.104(d)(3)(iv).
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118
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84890905079
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HR 3590 § 3503(a) and (c)
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HR 3590 § 3503(a) and (c).
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119
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84890898739
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Id. 137. Id. § 3503(d)
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Id. 137. Id. § 3503(d).
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120
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84890915032
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42 U.S.C. § 1395w-104(c)(2)(C)
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42 U.S.C. § 1395w-104(c)(2)(C).
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121
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Id. at § 1395w-104(c)(3)
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Id. at § 1395w-104(c)(3).
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