A Roadmap for New Physicians
About the Booklet
OIG conducted a survey (PDF) of medical school deans and designated institutional officials at institutions that sponsor residencies and fellowships to learn what types of instruction medical students, residents, and fellows receive on Medicare and Medicaid fraud, waste, and abuse. Nearly all respondents (92% of deans and 90% of designated institutional officials) reported they would like OIG to provide educational materials they can use.
In response to this desire for educational material, OIG has developed a Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse. The Roadmap summarizes 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 provides tips on how physicians should comply with these laws in their relationships with payers (like the Medicare and Medicaid programs), relationships with vendors (like drug, biologic, and medical device companies), and relationships with fellow providers (like hospitals, nursing homes, and physician colleagues). The Roadmap is available on our Web site at https://oig.hhs.gov/compliance/physician-education/ and may be printed or downloaded free of charge.
The 508-complaint version of this document is contained within the Roadmap Web site.
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Priority recommendations summarized.
OIG planned projects.
Significant OIG activities in 6-month increments.