In November 2010, the Office of Inspector General (OIG) released a guide entitled “Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse” (the Roadmap). The Roadmap “assists physicians in understanding how to comply with [Medicare and Medicaid fraud and abuse laws] by identifying ‘red flags’ that could lead to potential liability in law enforcement and administrative actions.” OIG has now issued additional training materials to assist in delivering the key points of the Roadmap. The new resources include a PowerPoint presentation that may be used to teach the material outlined in the Roadmap, a prepared set of speaker notes to simplify delivering the presentation, and a video that includes the slide presentation with narration for individuals who cannot attend a live presentation.
As described by OIG, “These materials summarize the five main Federal fraud and abuse laws (the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law) and provide tips on how physicians should comply with these laws in their relationships with payers (e.g., the Medicare and Medicaid programs), vendors (e.g., drug, biologic, and medical device companies), and fellow providers (e.g., hospitals, nursing homes, and physician colleagues).”
The Roadmap for New Physicians is available by clicking here. For more detail concerning the background of the Roadmap, see our November 15, 2010 Health Headlines edition, available by clicking here. The companion PowerPoint presentation and speaker notes are available by clicking here and here. Finally, the slide presentation with accompanying narration is available by clicking here.