1998 Final Rule on Beneficiary Incentive Provisions of the Health Insurance Accountability and Portability Act of 1996. Letter to Health Care Financing Administration.

Sox, Harold C., Jr., MD, MACP. DuMoulin, John.

Fraud, Healthcare

Thu, 04/19/2001 - 4:25 PM EDT

Thu, 04/19/2001 - 4:27 PM EDT

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final_rule_beneficiary_incentive_provisions_health_insurance_accountability_portability_act_1996_1998.pdf

{"Author":"Sox, Harold C., Jr., MD, MACP. DuMoulin, John.","Producer":"Acrobat 4.0 Scan Plug-in for Windows\u0000","Creator":"Acrobat 4.0 Capture Plug-in for Windows\u0000","Keywords":"Fraud, Healthcare","ModDate":"2001-04-19T16:27:36-04:00","Abstract":"ACP-ASIM agrees that whenever there is a clear intent to defraud or abuse he Medicare program, penalties, fines and sanctions should be imposed. Beneficiaries should support HCFA's efforts to curb fraudulent and abusive billing practices by reviewing their Explanation of Medicare Benefits and reporting to either the Office of Inspector General or their regional carrier any discrepancies after discussing them with their physician. However, HCFA should be careful not to let beneficiary inquiries create unnecessary investigations. Furthermore, HCFA must not allow beneficiaries to become the arbiters of what constitutes fraud and abuse. The government must distinguish between honest mistakes and program abuse in its policies and regulations in order to protect innocent physicians and other providers from unnecessary investigation and prosecution.","Title":"1998 Final Rule on Beneficiary Incentive Provisions of the Health Insurance Accountability and Portability Act of 1996. Letter to Health Care Financing Administration.","DocType":"Formal Statement","CreationDate":"2001-04-19T16:25:11-04:00","DateApproved":"1998-07-07","Pages":3}

1998