DecisionHealth's Fraud & Abuse Answers

Welcome to Fraud & Abuse Answers, your comprehensive online source for health care fraud and abuse compliance information to help you stay on the right side of the law. You will benefit from the ability to keyword search the entire content of Fraud & Abuse Answers and gain instant access to source material.

The Patient Protection & Affordable Care Act includes numerous provisions designed to combat fraud, waste and abuse. Your compliance burden will increase as these provisions go into effect. Example: Compliance plans are now mandatory and the compliance plan must contain seven core elements. To see how your organization's compliance plan stacks up against OIG's requirements, start with the OIG Model Compliance Plan chapter.

Next, check the chapter that contains the compliance plan for your organization to review the specific risk areas for your provider type:


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