The Major Health Care Fraud Laws
The Major Health Care Fraud Laws
This chapter discusses the major health care fraud laws in the United States. There are five laws that are specific to health care fraud and abuse: the 1972 anti-kickback statute, the Stark Law prohibiting self-referrals by physicians, the false claims statutes, the Health Insurance Portability and Accounting Act of 1996 (HIPAA), and the Federal Food, Drug and Cosmetic Act. The chapter examines each of these laws, beginning with the 1972 anti-kickback law, which prohibits the solicitation or receipt of payments—that is, kickbacks—in return for referring patients to purchase products or services paid for by Medicare, Medicaid, or other federally funded health care programs. It then considers the Stark Law, the false claims statutes that includes the False Claims Act, and the HIPAA. Finally, it evaluates the Federal Food, Drug, and Cosmetic Act.
Keywords: health care fraud, anti-kickback statute, Stark Law, self-referrals, false claims statutes, Health Insurance Portability and Accounting Act 1996, Federal Food, Drug and Cosmetic Act, kickbacks, False Claims Act
Cornell Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.
Please, subscribe or login to access full text content.
If you think you should have access to this title, please contact your librarian.
To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.
