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The Health Insurance Portability and Accountability Act (HIPAA) provided ways to combat medical fraud committed against private and public health plans. For instance, it led to the creation of the national Health Care Fraud and Abuse Control Program (HCFAC), which...

There are many federal, state, and insurance programs established to help investigate medical fraud and abuse. Criminal and civil charges As a result, individuals who commit healthcare fraud and abuse can face criminal and civil charges leading to fines and even...

There are many types of healthcare fraud and abuse, including false billing and insurance claims, fake advertisement and promises, kickbacks, and more. Here are some of the most common examples of healthcare abuse and fraud committed by providers, institutions, and...

Healthcare fraud and abuse are both harmful, but there are differences between the two. Healthcare fraud is an intentional deceptive action for personal and unlawful gain. However, healthcare abuse involves practices and activities inconsistent with accepted business,...

Healthcare fraud is a deliberate act of deception or misrepresentation of healthcare services for unlawful profit or benefits. Individuals and institutions can commit healthcare fraud, including medical providers, patients, healthcare insurance members, or those...

If a hospital, healthcare facility, or medical provider has violated your rights, you can: File a complaint with the hospital, provider, or health insurer to give them a chance to fix the situation File a complaint with the state’s department of health if the issue...

Healthcare laws and regulations help protect patients, their rights, and ensure they receive quality care. Four healthcare laws that are instrumental in protecting patients’ rights include: The Affordable Care Act (ACA) This act is often associated with insurance as...

Patient legal rights provide rules of conduct between patients and medical providers and healthcare institutions. While there are many legal rights, some key rights you have as a patient include the right to: Informed consent Being treated with respect and dignity...

There are many healthcare laws. But becoming familiar with key laws help ensure you’re providing standard care and following rules. Additionally, you’ll be able to report if you see something not in compliance with the law. Here are some laws that anyone in a...

There are various health policy types and categories, including global, national, or local policies. Public health policy These are policies formed on a state, national, or community level. The goal is to promote healthy lifestyles for everyone and minimize or prevent...