Other Resources

For more information about fraud, waste, and abuse, including developing and implementing effective compliance and fraud and abuse plans, please see:

Office of the Inspector General, Compliance Program Guidance for the Healthcare Industry  

Compliance Guidance for Medicare+Choice Organizations 

Compliance Guidance for Pharmaceutical Manufacturers 

Compliance Guidance for Hospitals 

Federal Sentencing Guidelines  

Office of Inspector General's (OIG) database of excluded individuals/entities 

False Claims Act 

Health Insurance Portability and Accountability Act (HIPAA) 

Anti-Kickback Statute (see section 1128B(b))

Stark Law (Physician Self-Referral) 

Department of Health and Human Services (HHS), Office of Civil Rights - HIPAA 

The Patient Protection and Affordable Care Act

Freedom of Information Act (FOIA):