Medicare compliance tools

False Claims Act

Watch a brief video on the False Claims Act to help you understand and comply with this law. False claims are not claims with innocent billing mistakes. Providers know these claims are false, and they include services that are:

• Not rendered
• Upcoded
• Not supported by the patient’s medical record
• Part of a previously submitted claim

This video is part of the Office of Inspector General (OIG) Health Care Fraud Prevention and Enforcement Action Team (HEAT) Provider Compliance Training initiative to prevent fraud, waste, and abuse. The video originally aired in 2011, but the information is still current.

Medicare Fraud & Abuse: Prevention, Detection, and Reporting Booklet — Revised

A revised Medicare Fraud & Abuse: Prevention, Detection, and Reporting Booklet is available. Learn about:

• Fraud and abuse definitions
• Laws used to fight fraud and abuse
• Government partnerships engaged in fighting fraud and abuse
• Where to report suspected fraud and abuse

About the Author

Reed Tinsley CPA

This article is written by Reed Tinsley, a Houston, TX-based CPA with over 30 years of experience advising physicians and medical practices across Texas and the United States. Reed holds certifications as a Certified Valuation Analyst (CVA), Certified Healthcare Business Consultant (CHBC), and Certified Financial Planner (CFP), specializing exclusively in the healthcare sector. He is a published author, nationally recognized speaker, and trusted advisor to physicians on accounting & tax, practice management, and financial planning. Schedule a Free Consultation.