What this service is:

A complete yet concise synthesis of one of today's fastest growing legal specialties, the Health Care Fraud Report monitors a broad range of health care fraud and abuse issues in the private insurance industry, managed care organizations, and federal and state programs.

What it helps you do:

• Protect your company or clients with inside information on a variety of current fraud and abuse topics, complete with expert analysis.
• Reduce your risks by staying up-to-date on pertinent legislative, regulatory, and legal developments at federal and state levels. Be aware of policy changes in the private sector.
• Prepare to face increased scrutiny from federal agencies charged with enforcement of anti-fraud measures, as well as from whistleblowers.
• Learn how to prevent and detect fraud where you work, and how to report suspected fraud to the government.
• Follow federal health care anti-fraud initiatives and enforcement efforts at the Centers for Medicare & Medicaid Services, Health and Human Services Office of Inspector General, FBI, Department of Justice, and other government agencies.
• Understand the civil and criminal health care fraud provisions and the changes to False Claims Act enforcement under the Patient Protection and Affordable Care Act.
• Save valuable reading and research time. Track federal and state legislation and hearings, legal decisions and settlements, conferences and meetings, and health care association activities.
• Gain insights from analysis and perspective pieces by recognized experts and other special reports.
• Have significant documents in full text at your fingertips. Consult original language to form your own interpretations.
• Get the right amount of data and detail on health care fraud and abuse in just one manageable, well-organized source.

Product Structure 

Notification: current reports providing news and developments

Formats and Frequency

Print and Web notification formats are issued and available biweekly. Print current reports are indexed every six months, cumulating annually. Web current reports are archived to 1/15/1997. E-mail summaries, providing the highlights and table of contents for each report, with URLs to full-text articles and documents are also available.

• Anti-kickback
• Billing
• Civil and criminal penalties
• Claims processing
• Clinical laboratories
• Contractor fraud
• Elder abuse
• Embezzlement
• False Claims Act
• Home health
• Hospitals
• Hotlines
• Internet fraud
• Investigations
• Managed care
• Medicare/Medicaid
• Medical errors
• Nursing homes
• Overpayments
• Patient dumping
• Pharmaceuticals
• Quality of care
• Research fraud
• Stark Law compliance