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Avoiding Medicare and Medicaid Fraud and Abuse

From the US Department of Health and Human Services Office of the Inspector GeneralAvoiding Medicare and Medicaid Fraud and Abuse

A Roadmap for New Physicians
Avoiding Medicare and Medicaid Fraud and Abuse

Introduction

Most physicians strive to work ethically, render high-quality medical care to their patients, and submit proper claims for payment. Society places enormous trust in physicians, and rightly so. Trust is at the core of the physician-patient relationship. When our health is at its most vulnerable, we rely on physicians to use their expert medical training to put us on the road to a healthy recovery.

The Federal Government also places enormous trust in physicians. Medicare, Medicaid, and other Federal health care programs rely on physicians’ medical judgment to treat beneficiaries with appropriate services. When reimbursing physicians and hospitals for services provided to program beneficiaries, the Federal Government relies on physicians to submit accurate and truthful claims information.

Additional information and Roadmap

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Allegheny County Medical Society
713 Ridge Avenue
Pittsburgh, PA  15212
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