#enhancedSkills #learnings2023
Ranjeet Bhargava ?
Software Delivery Manager @ YourNXT Technologies LLP | Strategic Cloud Development for SW Projects- Disciplined Agile Practitioner -Tech Lead - DevOps SAaaS PaaS, IaaS, Data Orchestration Platform .Net Developer-IA
Neurodiversity #neurodiversityinbusiness #businessCulture & #ethics
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Health Care Fraud, Waste and Abuse Laws To combat the increasing problem of health care fraud, waste and abuse, federal and state fraud prevention laws have been established. Each of these laws has its own purpose in preventing health care fraud, waste and abuse. Some examples of these laws include: U.S. Federal & State False Claims Acts: The U.S. False Claims Act prohibits any person from knowingly presenting or causing the presentation of a fraudulent claim for payment. The Act also protects reporters from retaliation, including the following: harassment, demotion and wrongful termination. In addition to the U.S. Federal False Claims Act, a number of U.S. states have also enacted False Claims Acts to discourage fraud against U.S. state government programs.
U.S. Federal Health Care Fraud Statute: In addition to the laws that address the protection of U.S. government dollars, the U.S. Federal Health Care Fraud Statute makes it a crime to defraud any health care benefit program – not just programs funded by the U.S. government. ? Citation: Health Care Fraud Statute (18 U.S.C. § 1347) Title II of HIPAA: Title II includes multiple provisions including but not limited to the creation of a fraud, waste, and abuse control program for coordination of U.S. state and federal health care fraud investigation and enforcement activities. It also created new criminal provisions that expanded what actions could be considered ‘health care fraud’ and made it a federal crime to defraud health care benefit programs - any benefit program - not just Medicare or Medicaid. ? Citation: Health Insurance Portability and Accountability Act (HIPAA) (Public Law 104-191) ; 42 U.S. Code § 1320a–7c - Fraud and abuse