Fraud, Abuse, & Physician Compliance: For Physicians, Practice Administrators, & Other Interested Parties

Fraud and Abuse Prevention: What the Physician Needs To Know

The medical community recognizes fraud and abuse as serious drain on health care resources that should be devoted to patient care. But what constitutes fraud and abuse? In view of the increasingly complex laws and regulations that govern physician participation in Medicare and Medicaid, the answers are not always apparent even to the most ethical and conscientious physicians. The Massachusetts Medical Society has prepared this manual to help physicians and medical office personnel understand the nature and scope of fraud and abuse enforcement, and comply with the guidelines that cover the documentation, coding, and billing processes.

To receive a printed copy of the Fraud and Abuse Manual, please contact Liz Slade at eslade@mms.org, or by phone at 781-434-7222.