Posted on 01.23.15 by Cindy Hudson, B.S./OTR-L, CHC
A Federal Law titled The False Claims Act (FCA) imposes liability on persons and companies (usually federal contractors) who defraud government programs such as Medicare. This law prohibits the submission of a fraudulent claim for payment to the government for all government programs including Medicare, the military, disaster relief etc.. This law is 1 of 5 statutes that make up the Medicare Fraud and Abuse laws that are enforced by the Department of Justice ( DOJ), the Office of Inspector General (OIG), the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS). This law has a lot of oversight!
Fraudulent claims include
Billing for services not provided
Use of false records to obtain reimbursement
Claims submitted when records contain falsified information to appear compliant
Arbor Rehabilitation has a strong stance against any activity that would be in violation of the FCA. Some compliance actions include therapy department audits to observe and monitor for appropriate service delivery, documentation audits, routine monitoring of human resource compliance and an extensive Policy and Procedure manual to support integrity in all aspects of patient care. When working with Arbor Rehab, you are working with a company committed to a successful balance of effective clinical care with fiscal accountability.