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Deeper Than the Headlines: Teaching Compliance

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Most doctors read medical journals to stay abreast of the most current treatment options or cutting edge research about advancements in clinical care. And more and more physicians are seeing articles in their medical journals about compliance, fraud and abuse.

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Compliance News Roundup: Co-Pay Waivers

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1. Federal prosecutors accuse local medical practice of fraud - “A local medical group that treats patients with cancer and blood disorders took illegal kickbacks and filed false Medicare claims, according to a complaint filed by federal prosecutors…Prosecutors allege two illegal schemes.

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In Medicare and Medicaid services, managed care plans fall under Part C, a Medicare Advantage plan alternative to Parts A and B. Medicare Advantage plans often include integrated self-administered drug coverage similar to the standalone Part D prescription drug benefit plan.

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