INTRODUCTION Compliance with regulatory agencies has become a major focus for healthcare organizations of all types. Areas from patient referrals to billing and documentation have become targets for state and federal governments; investigation of healthcare fraud, false claims, and other types of noncompliance has become a major activity with greater emphasis and resources than ever. In addition, the False Claims Act (FCA) was modified to make it easier for employees to report fraud and abuse incidents. Due to the significant financial impact and increase of qui tam lawsuits, healthcare managers must be aware of the issues and take steps to minimize and mitigate their organizations' exposure.
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