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Federal fraud enforcement and physician compliance

These resources provide a brief overview of the fraud enforcement climate facing physicians who provide care for patients who are insured through federal health benefits programs. The document also provides the basic structure that physicians and others may follow for establishing a compliance program that can be incorporated into their practices. Establishing and maintaining a compliance plan will help physicians in avoiding activities that could be attacked under the fraud and abuse laws and by ensuring that their claims cannot be categorized as being fraudulently submitted.

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