What Are The Penalties For Health Care Fraud & Abuse? | DPL (2024)

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true}switch($el[0].type){case"radio":validated=this.validateRadio($el.attr("name"));break;case"checkbox":validated=clearRequire;break;case"select":case"select-one":case"select-multiple":validated=clearRequire;break;default:validated=this.validateText($el)}if(validator){customValidator=this.matchValidation($el,validator,$el.attr("required"))}if($el.attr("data-equalto")){equalTo=this.options.validators.equalTo($el)}var goodToGo=[clearRequire,validated,customValidator,equalTo].indexOf(false)===-1;var message=(goodToGo?"valid":"invalid")+".zf.abide";if(goodToGo){var dependentElements=this.$element.find('[data-equalto="'+$el.attr("id")+'"]');if(dependentElements.length){(function(){var _this=_this4;dependentElements.each(function(){if($(this).val()){_this.validateInput($(this))}})})()}}this[goodToGo?"removeErrorClasses":"addErrorClasses"]($el);$el.trigger(message,[$el]);return goodToGo}},{key:"validateForm",value:function validateForm(){var acc=[];var _this=this;this.$inputs.each(function(){acc.push(_this.validateInput($(this)))});var noError=acc.indexOf(false)===-1;this.$element.find("[data-abide-error]").css("display",noError?"none":"block");this.$element.trigger((noError?"formvalid":"forminvalid")+".zf.abide",[this.$element]);return noError}},{key:"validateText",value:function validateText($el,pattern){pattern=pattern||$el.attr("pattern")||$el.attr("type");var inputText=$el.val();var valid=false;if(inputText.length){if(this.options.patterns.hasOwnProperty(pattern)){valid=this.options.patterns[pattern].test(inputText)}else if(pattern!==$el.attr("type")){valid=new RegExp(pattern).test(inputText)}else{valid=true}}else if(!$el.prop("required")){valid=true}return valid}},{key:"validateRadio",value:function validateRadio(groupName){var $group=this.$element.find(':radio[name="'+groupName+'"]');var valid=false,required=false;$group.each(function(i,e){if($(e).attr("required")){required=true}});if(!required)valid=true;if(!valid){$group.each(function(i,e){if($(e).prop("checked")){valid=true}})}return valid}},{key:"matchValidation",value:function matchValidation($el,validators,required){var _this5=this;required=required?true:false;var clear=validators.split(" ").map(function(v){return _this5.options.validators[v]($el,required,$el.parent())});return clear.indexOf(false)===-1}},{key:"resetForm",value:function resetForm(){var $form=this.$element,opts=this.options;$("."+opts.labelErrorClass,$form).not("small").removeClass(opts.labelErrorClass);$("."+opts.inputErrorClass,$form).not("small").removeClass(opts.inputErrorClass);$(opts.formErrorSelector+"."+opts.formErrorClass).removeClass(opts.formErrorClass);$form.find("[data-abide-error]").css("display","none");$(":input",$form).not(":button, :submit, :reset, :hidden, :radio, :checkbox, [data-abide-ignore]").val("").removeAttr("data-invalid");$(":input:radio",$form).not("[data-abide-ignore]").prop("checked",false).removeAttr("data-invalid");$(":input:checkbox",$form).not("[data-abide-ignore]").prop("checked",false).removeAttr("data-invalid");$form.trigger("formreset.zf.abide",[$form])}},{key:"destroy",value:function destroy(){var _this=this;this.$element.off(".abide").find("[data-abide-error]").css("display","none");this.$inputs.off(".abide").each(function(){_this.removeErrorClasses($(this))});Foundation.unregisterPlugin(this)}}]);return Abide}();Abide.defaults={validateOn:"fieldChange",labelErrorClass:"is-invalid-label",inputErrorClass:"is-invalid-input",formErrorSelector:".form-error",formErrorClass:"is-visible",liveValidate:false,validateOnBlur:false,patterns:{alpha:/^[a-zA-Z]+$/,alpha_numeric:/^[a-zA-Z0-9]+$/,integer:/^[-+]?\d+$/,number:/^[-+]?\d*(?:[\.\,]\d+)?$/,card:/^(?:4[0-9]{12}(?:[0-9]{3})?|5[1-5][0-9]{14}|6(?:011|5[0-9][0-9])[0-9]{12}|3[47][0-9]{13}|3(?:0[0-5]|[68][0-9])[0-9]{11}|(?:2131|1800|35\d{3})\d{11})$/,cvv:/^([0-9]){3,4}$/,email:/^[a-zA-Z0-9.!#$%&'*+\/=?^_`{|}~-]+@[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?(?:\.[a-zA-Z0-9](?:[a-zA-Z0-9-]{0,61}[a-zA-Z0-9])?)+$/,url:/^(https?|ftp|file|ssh):\/\/(((([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(%[\da-f]{2})|[!\$&'\(\)\*\+,;=]|:)*@)?(((\d|[1-9]\d|1\d\d|2[0-4]\d|25[0-5])\.(\d|[1-9]\d|1\d\d|2[0-4]\d|25[0-5])\.(\d|[1-9]\d|1\d\d|2[0-4]\d|25[0-5])\.(\d|[1-9]\d|1\d\d|2[0-4]\d|25[0-5]))|((([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-zA-Z]|\d|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))\.)+(([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])*([a-zA-Z]|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])))\.?)(:\d*)?)(\/((([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(%[\da-f]{2})|[!\$&'\(\)\*\+,;=]|:|@)+(\/(([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(%[\da-f]{2})|[!\$&'\(\)\*\+,;=]|:|@)*)*)?)?(\?((([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(%[\da-f]{2})|[!\$&'\(\)\*\+,;=]|:|@)|[\uE000-\uF8FF]|\/|\?)*)?(\#((([a-zA-Z]|\d|-|\.|_|~|[\u00A0-\uD7FF\uF900-\uFDCF\uFDF0-\uFFEF])|(%[\da-f]{2})|[!\$&'\(\)\*\+,;=]|:|@)|\/|\?)*)?$/,domain:/^([a-zA-Z0-9]([a-zA-Z0-9\-]{0,61}[a-zA-Z0-9])?\.)+[a-zA-Z]{2,8}$/,datetime:/^([0-2][0-9]{3})\-([0-1][0-9])\-([0-3][0-9])T([0-5][0-9])\:([0-5][0-9])\:([0-5][0-9])(Z|([\-\+]([0-1][0-9])\:00))$/,date:/(?:19|20)[0-9]{2}-(?:(?:0[1-9]|1[0-2])-(?:0[1-9]|1[0-9]|2[0-9])|(?:(?!02)(?:0[1-9]|1[0-2])-(?:30))|(?:(?:0[13578]|1[02])-31))$/,time:/^(0[0-9]|1[0-9]|2[0-3])(:[0-5][0-9]){2}$/,dateISO:/^\d{4}[\/\-]\d{1,2}[\/\-]\d{1,2}$/,month_day_year:/^(0[1-9]|1[012])[- \/.](0[1-9]|[12][0-9]|3[01])[- \/.]\d{4}$/,day_month_year:/^(0[1-9]|[12][0-9]|3[01])[- \/.](0[1-9]|1[012])[- \/.]\d{4}$/,color:/^#?([a-fA-F0-9]{6}|[a-fA-F0-9]{3})$/},validators:{equalTo:function(el,required,parent){return $("#"+el.attr("data-equalto")).val()===el.val()}}};Foundation.plugin(Abide,"Abide")}(jQuery);"use strict";var _createClass=function(){function defineProperties(target,props){for(var i=0;i')}$link.data("savedHref",$link.attr("href")).removeAttr("href").attr("tabindex",0);$link.children("[data-submenu]").attr({"aria-hidden":true,tabindex:0,role:"menu"});_this._events($link)});this.$submenus.each(function(){var $menu=$(this),$back=$menu.find(".js-drilldown-back");if(!$back.length){switch(_this.options.backButtonPosition){case"bottom":$menu.append(_this.options.backButton);break;case"top":$menu.prepend(_this.options.backButton);break;default:console.error("Unsupported backButtonPosition value '"+_this.options.backButtonPosition+"'")}}_this._back($menu)});if(!this.options.autoHeight){this.$submenus.addClass("drilldown-submenu-cover-previous")}if(!this.$element.parent().hasClass("is-drilldown")){this.$wrapper=$(this.options.wrapper).addClass("is-drilldown");if(this.options.animateHeight)this.$wrapper.addClass("animate-height");this.$wrapper=this.$element.wrap(this.$wrapper).parent().css(this._getMaxDims())}}},{key:"_resize",value:function _resize(){this.$wrapper.css({"max-width":"none","min-height":"none"});this.$wrapper.css(this._getMaxDims())}},{key:"_events",value:function _events($elem){var _this=this;$elem.off("click.zf.drilldown").on("click.zf.drilldown",function(e){if($(e.target).parentsUntil("ul","li").hasClass("is-drilldown-submenu-parent")){e.stopImmediatePropagation();e.preventDefault()}_this._show($elem.parent("li"));if(_this.options.closeOnClick){var $body=$("body");$body.off(".zf.drilldown").on("click.zf.drilldown",function(e){if(e.target===_this.$element[0]||$.contains(_this.$element[0],e.target)){return}e.preventDefault();_this._hideAll();$body.off(".zf.drilldown")})}});this.$element.on("mutateme.zf.trigger",this._resize.bind(this))}},{key:"_registerEvents",value:function _registerEvents(){if(this.options.scrollTop){this._bindHandler=this._scrollTop.bind(this);this.$element.on("open.zf.drilldown hide.zf.drilldown closed.zf.drilldown",this._bindHandler)}}},{key:"_scrollTop",value:function _scrollTop(){var _this=this;var $scrollTopElement=_this.options.scrollTopElement!=""?$(_this.options.scrollTopElement):_this.$element,scrollPos=parseInt($scrollTopElement.offset().top+_this.options.scrollTopOffset);$("html, body").stop(true).animate({scrollTop:scrollPos},_this.options.animationDuration,_this.options.animationEasing,function(){if(this===$("html")[0])_this.$element.trigger("scrollme.zf.drilldown")})}},{key:"_keyboardEvents",value:function _keyboardEvents(){var _this=this;this.$menuItems.add(this.$element.find(".js-drilldown-back > a, .is-submenu-parent-item > a")).on("keydown.zf.drilldown",function(e){var $element=$(this),$elements=$element.parent("li").parent("ul").children("li").children("a"),$prevElement,$nextElement;$elements.each(function(i){if($(this).is($element)){$prevElement=$elements.eq(Math.max(0,i-1));$nextElement=$elements.eq(Math.min(i+1,$elements.length-1));return}});Foundation.Keyboard.handleKey(e,"Drilldown",{next:function(){if($element.is(_this.$submenuAnchors)){_this._show($element.parent("li"));$element.parent("li").one(Foundation.transitionend($element),function(){$element.parent("li").find("ul li a").filter(_this.$menuItems).first().focus()});return true}},previous:function(){_this._hide($element.parent("li").parent("ul"));$element.parent("li").parent("ul").one(Foundation.transitionend($element),function(){setTimeout(function(){$element.parent("li").parent("ul").parent("li").children("a").first().focus()},1)});return true},up:function(){$prevElement.focus();return true},down:function(){$nextElement.focus();return true},close:function(){_this._back()},open:function(){if(!$element.is(_this.$menuItems)){_this._hide($element.parent("li").parent("ul"));$element.parent("li").parent("ul").one(Foundation.transitionend($element),function(){setTimeout(function(){$element.parent("li").parent("ul").parent("li").children("a").first().focus()},1)});return true}else if($element.is(_this.$submenuAnchors)){_this._show($element.parent("li"));$element.parent("li").one(Foundation.transitionend($element),function(){$element.parent("li").find("ul li a").filter(_this.$menuItems).first().focus()});return true}},handled:function(preventDefault){if(preventDefault){e.preventDefault()}e.stopImmediatePropagation()}})})}},{key:"_hideAll",value:function _hideAll(){var $elem=this.$element.find(".is-drilldown-submenu.is-active").addClass("is-closing");if(this.options.autoHeight)this.$wrapper.css({height:$elem.parent().closest("ul").data("calcHeight")});$elem.one(Foundation.transitionend($elem),function(e){$elem.removeClass("is-active is-closing")});this.$element.trigger("closed.zf.drilldown")}},{key:"_back",value:function _back($elem){var _this=this;$elem.off("click.zf.drilldown");$elem.children(".js-drilldown-back").on("click.zf.drilldown",function(e){e.stopImmediatePropagation();_this._hide($elem);var parentSubMenu=$elem.parent("li").parent("ul").parent("li");if(parentSubMenu.length){_this._show(parentSubMenu)}})}},{key:"_menuLinkEvents",value:function _menuLinkEvents(){var _this=this;this.$menuItems.not(".is-drilldown-submenu-parent").off("click.zf.drilldown").on("click.zf.drilldown",function(e){setTimeout(function(){_this._hideAll()},0)})}},{key:"_show",value:function _show($elem){if(this.options.autoHeight)this.$wrapper.css({height:$elem.children("[data-submenu]").data("calcHeight")});$elem.attr("aria-expanded",true);$elem.children("[data-submenu]").addClass("is-active").attr("aria-hidden",false);this.$element.trigger("open.zf.drilldown",[$elem])}},{key:"_hide",value:function _hide($elem){if(this.options.autoHeight)this.$wrapper.css({height:$elem.parent().closest("ul").data("calcHeight")});var _this=this;$elem.parent("li").attr("aria-expanded",false);$elem.attr("aria-hidden",true).addClass("is-closing");$elem.addClass("is-closing").one(Foundation.transitionend($elem),function(){$elem.removeClass("is-active is-closing");$elem.blur()});$elem.trigger("hide.zf.drilldown",[$elem])}},{key:"_getMaxDims",value:function _getMaxDims(){var maxHeight=0,result={},_this=this;this.$submenus.add(this.$element).each(function(){var numOfElems=$(this).children("li").length;var height=Foundation.Box.GetDimensions(this).height;maxHeight=height>maxHeight?height:maxHeight;if(_this.options.autoHeight){$(this).data("calcHeight",height);if(!$(this).hasClass("is-drilldown-submenu"))result["height"]=height}});if(!this.options.autoHeight)result["min-height"]=maxHeight+"px";result["max-width"]=this.$element[0].getBoundingClientRect().width+"px";return result}},{key:"destroy",value:function destroy(){if(this.options.scrollTop)this.$element.off(".zf.drilldown",this._bindHandler);this._hideAll();this.$element.off("mutateme.zf.trigger");Foundation.Nest.Burn(this.$element,"drilldown");this.$element.unwrap().find(".js-drilldown-back, .is-submenu-parent-item").remove().end().find(".is-active, .is-closing, .is-drilldown-submenu").removeClass("is-active is-closing is-drilldown-submenu").end().find("[data-submenu]").removeAttr("aria-hidden tabindex role");this.$submenuAnchors.each(function(){$(this).off(".zf.drilldown")});this.$submenus.removeClass("drilldown-submenu-cover-previous");this.$element.find("a").each(function(){var $link=$(this);$link.removeAttr("tabindex");if($link.data("savedHref")){$link.attr("href",$link.data("savedHref")).removeData("savedHref")}else{return}});Foundation.unregisterPlugin(this)}}]);return Drilldown}();Drilldown.defaults={backButton:'
  • Back
  • ',backButtonPosition:"top",wrapper:"",parentLink:false,closeOnClick:false,autoHeight:false,animateHeight:false,scrollTop:false,scrollTopElement:"",scrollTopOffset:0,animationDuration:500,animationEasing:"swing"};Foundation.plugin(Drilldown,"Drilldown")}(jQuery);"use strict";var _createClass=function(){function defineProperties(target,props){for(var i=0;i-1&&this.usedPositions.indexOf("left")<0){this.$element.addClass("left")}else if(position==="top"&&this.usedPositions.indexOf("bottom")>-1&&this.usedPositions.indexOf("left")<0){this.$element.removeClass(position).addClass("left")}else if(position==="left"&&this.usedPositions.indexOf("right")>-1&&this.usedPositions.indexOf("bottom")<0){this.$element.removeClass(position)}else if(position==="right"&&this.usedPositions.indexOf("left")>-1&&this.usedPositions.indexOf("bottom")<0){this.$element.removeClass(position)}else{this.$element.removeClass(position)}this.classChanged=true;this.counter--}},{key:"_setPosition",value:function _setPosition(){if(this.$anchor.attr("aria-expanded")==="false"){return false}var position=this.getPositionClass(),$eleDims=Foundation.Box.GetDimensions(this.$element),$anchorDims=Foundation.Box.GetDimensions(this.$anchor),_this=this,direction=position==="left"?"left":position==="right"?"left":"top",param=direction==="top"?"height":"width",offset=param==="height"?this.options.vOffset:this.options.hOffset;if($eleDims.width>=$eleDims.windowDims.width||!this.counter&&!Foundation.Box.ImNotTouchingYou(this.$element,this.$parent)){var newWidth=$eleDims.windowDims.width,parentHOffset=0;if(this.$parent){var $parentDims=Foundation.Box.GetDimensions(this.$parent),parentHOffset=$parentDims.offset.left;if($parentDims.width-1,$elements=isTab?_this.$tabs:$element.siblings("li").add($element),$prevElement,$nextElement;$elements.each(function(i){if($(this).is($element)){$prevElement=$elements.eq(i-1);$nextElement=$elements.eq(i+1);return}});var nextSibling=function(){if(!$element.is(":last-child")){$nextElement.children("a:first").focus();e.preventDefault()}},prevSibling=function(){$prevElement.children("a:first").focus();e.preventDefault()},openSub=function(){var $sub=$element.children("ul.is-dropdown-submenu");if($sub.length){_this._show($sub);$element.find("li > a:first").focus();e.preventDefault()}else{return}},closeSub=function(){var close=$element.parent("ul").parent("li");close.children("a:first").focus();_this._hide(close);e.preventDefault()};var functions={open:openSub,close:function(){_this._hide(_this.$element);_this.$menuItems.find("a:first").focus();e.preventDefault()},handled:function(){e.stopImmediatePropagation()}};if(isTab){if(_this._isVertical()){if(Foundation.rtl()){$.extend(functions,{down:nextSibling,up:prevSibling,next:closeSub,previous:openSub})}else{$.extend(functions,{down:nextSibling,up:prevSibling,next:openSub,previous:closeSub})}}else{if(Foundation.rtl()){$.extend(functions,{next:prevSibling,previous:nextSibling,down:openSub,up:closeSub})}else{$.extend(functions,{next:nextSibling,previous:prevSibling,down:openSub,up:closeSub})}}}else{if(Foundation.rtl()){$.extend(functions,{next:closeSub,previous:openSub,down:nextSibling,up:prevSibling})}else{$.extend(functions,{next:openSub,previous:closeSub,down:nextSibling,up:prevSibling})}}Foundation.Keyboard.handleKey(e,"DropdownMenu",functions)})}},{key:"_addBodyHandler",value:function _addBodyHandler(){var $body=$(document.body),_this=this;$body.off("mouseup.zf.dropdownmenu touchend.zf.dropdownmenu").on("mouseup.zf.dropdownmenu touchend.zf.dropdownmenu",function(e){var $link=_this.$element.find(e.target);if($link.length){return}_this._hide();$body.off("mouseup.zf.dropdownmenu touchend.zf.dropdownmenu")})}},{key:"_show",value:function _show($sub){var idx=this.$tabs.index(this.$tabs.filter(function(i,el){return $(el).find($sub).length>0}));var $sibs=$sub.parent("li.is-dropdown-submenu-parent").siblings("li.is-dropdown-submenu-parent");this._hide($sibs,idx);$sub.css("visibility","hidden").addClass("js-dropdown-active").parent("li.is-dropdown-submenu-parent").addClass("is-active");var clear=Foundation.Box.ImNotTouchingYou($sub,null,true);if(!clear){var oldClass=this.options.alignment==="left"?"-right":"-left",$parentLi=$sub.parent(".is-dropdown-submenu-parent");$parentLi.removeClass("opens"+oldClass).addClass("opens-"+this.options.alignment);clear=Foundation.Box.ImNotTouchingYou($sub,null,true);if(!clear){$parentLi.removeClass("opens-"+this.options.alignment).addClass("opens-inner")}this.changed=true}$sub.css("visibility","");if(this.options.closeOnClick){this._addBodyHandler()}this.$element.trigger("show.zf.dropdownmenu",[$sub])}},{key:"_hide",value:function _hide($elem,idx){var $toClose;if($elem&&$elem.length){$toClose=$elem}else if(idx!==undefined){$toClose=this.$tabs.not(function(i,el){return i===idx})}else{$toClose=this.$element}var somethingToClose=$toClose.hasClass("is-active")||$toClose.find(".is-active").length>0;if(somethingToClose){$toClose.find("li.is-active").add($toClose).attr({"data-is-click":false}).removeClass("is-active");$toClose.find("ul.js-dropdown-active").removeClass("js-dropdown-active");if(this.changed||$toClose.find("opens-inner").length){var oldClass=this.options.alignment==="left"?"right":"left";$toClose.find("li.is-dropdown-submenu-parent").add($toClose).removeClass("opens-inner opens-"+this.options.alignment).addClass("opens-"+oldClass);this.changed=false}this.$element.trigger("hide.zf.dropdownmenu",[$toClose])}}},{key:"destroy",value:function destroy(){this.$menuItems.off(".zf.dropdownmenu").removeAttr("data-is-click").removeClass("is-right-arrow is-left-arrow is-down-arrow opens-right opens-left opens-inner");$(document.body).off(".zf.dropdownmenu");Foundation.Nest.Burn(this.$element,"dropdown");Foundation.unregisterPlugin(this)}}]);return DropdownMenu}();DropdownMenu.defaults={disableHover:false,autoclose:true,hoverDelay:50,clickOpen:false,closingTime:500,alignment:"left",closeOnClick:true,closeOnClickInside:true,verticalClass:"vertical",rightClass:"align-right",forceFollow:true};Foundation.plugin(DropdownMenu,"DropdownMenu")}(jQuery);"use strict";var _createClass=function(){function defineProperties(target,props){for(var i=0;i0;this.isNested=this.$element.parentsUntil(document.body,"[data-equalizer]").length>0;this.isOn=false;this._bindHandler={onResizeMeBound:this._onResizeMe.bind(this),onPostEqualizedBound:this._onPostEqualized.bind(this)};var imgs=this.$element.find("img");var tooSmall;if(this.options.equalizeOn){tooSmall=this._checkMQ();$(window).on("changed.zf.mediaquery",this._checkMQ.bind(this))}else{this._events()}if(tooSmall!==undefined&&tooSmall===false||tooSmall===undefined){if(imgs.length){Foundation.onImagesLoaded(imgs,this._reflow.bind(this))}else{this._reflow()}}}},{key:"_pauseEvents",value:function 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    What Are The Penalties For Health Care Fraud & Abuse? | DPL (2024)

    FAQs

    What Are The Penalties For Health Care Fraud & Abuse? | DPL? ›

    The criminal penalties for knowingly submitting false Medicare claims, giving kickbacks or accepting kickbacks can be significant. If a person is convicted of making fraudulent claims as described in the False Claims Act, he or she may face up to five years in prison and criminal fines as high as $250,000.

    What are the consequences of healthcare fraud and abuse? ›

    Criminal penalties and administrative sanctions for violating the AKS include fines, jail terms, and exclusion from participation in the Federal health care programs. Under the CMPL, physicians who pay or accept kickbacks also face penalties of up to $50,000 per kickback plus three times the amount of the remuneration.

    Which of the following are consequences of healthcare fraud? ›

    Punishments for a Health Care Fraud Conviction

    two, three, or a five-year sentence in county jail; fines up to $50,000 or double the amount of fraud; probation that includes up to one year in county jail.

    What is healthcare fraud and abuse quizlet? ›

    Common forms of fraud and abuse are: Providers billing for services that were not provided or did not meet medical necessity criteria (false claims), submitting duplicate bills, of coaching services to receive higher reimbursem*nt, and receiving kickbacks for referrals.

    What is the penalty for committing FWA? ›

    Persons who knowingly make a false claim may be subject to: • Criminal fines up to $250,000 • Imprisonment for up to 20 years If the violations resulted in death, the individual may be imprisoned for any term of years or for life. For more information, refer to 18 USC Section 1347.

    What are the examples of abuse in healthcare? ›

    The most common 5 types of abuse in a nursing home are physical abuse, neglect, sexual assault, financial exploitation, and emotional abuse. While these types of nursing home abuse are reported in care facilities across the country, they are never okay.

    What are the warning signs of fraud and abuse in healthcare? ›

    5 Warning Signs of Healthcare Fraud and Abuse
    • Excessive Care Costs or Services. ...
    • Inconsistent Documentation. ...
    • Unverifiable Information. ...
    • Treatment Outside Standards of Care. ...
    • Delayed Submission of Records.

    Who are victims of health care fraud? ›

    These are people who are exploited and subjected to unnecessary or unsafe medical procedures. Or whose medical records are compromised or whose legitimate insurance information is used to submit falsified claims. Don't be fooled into thinking that health care fraud is a victimless crime.

    What is the sentence for Medicare fraud? ›

    False claims

    These include incarceration for up to five years and criminal fines worth up to $250,000, according to the CMS. In some cases, however, professionals might be able to contest these criminal charges by showing that they didn't know and shouldn't reasonably have known that a claim was fraudulent.

    What can a healthcare professional be considered guilty of fraud if what can be shown? ›

    A health care professional could be considered guilty of fraud if the intent to deceive can be shown. Fraud in healthcare refers to the intentional misrepresentation of information or actions for personal gain, such as financial gain or professional advancement.

    What Hipaa title deals with healthcare fraud and abuse? ›

    Title II: Prevents healthcare fraud and abuse; medical liability reform; administrative simplification that requires establishing national standards for electronic healthcare transactions and national identifiers for providers, employers, and health insurance plans.

    What is a characteristic of health-care fraud? ›

    Health-care fraud occurs when a health-care professional knowingly, willfully, and intentionally makes a false statement or claim. Making false statements or documentation to obtain program benefits, such as Medicare reimbursem*nt when a provider would otherwise not be entitled to payment, is fraudulent.

    What forms of fraud and abuse may be present in a healthcare setting quizlet? ›

    What forms of fraud and abuse may be present in a health-care setting? Forms may include the areas of false claims and billing practices, and the use of kickback schemes.

    Which of the following would be considered abuse on a claim? ›

    Abuse includes any practice that does not provide patients with medically necessary services or meet professionally recognized standards of care. The difference between “fraud” and “abuse” depends on specific facts, circ*mstances, intent, and knowledge. Misusing codes on a claim, such as upcoding or unbundling codes.

    What is the maximum penalty for violating the Safe Act? ›

    CFPB Announces 2023 Increases to Maximum Amount of Civil Penalties
    LawPenalty descriptionNew penalty amount
    SAFE Act, 12 U.S.C. 5113(d)(2)Per violation34,401
    Truth in Lending Act, 15 U.S.C. 1639e(k)(1)First violation13,627
    Truth in Lending Act, 15 U.S.C. 1639e(k)(2)Subsequent violations27,252
    8 more rows
    Jan 16, 2023

    Which of the following two are an example of abuse? ›

    Hitting, slapping, punching, kicking. Burning. Strangulation. Damaging personal property.

    What is an example of fraud and abuse which was committed in a medical practice? ›

    Billing for physician visits and services not rendered or not medically necessary. Billing for durable medical equipment such as wheelchairs, body jackets, incontinence supplies, or diabetic supplies without a doctor's prescription. Billing for genetic testing kits not ordered by one's physician.

    What is the prevalence and impact of fraud and abuse in the healthcare industry? ›

    Fraud and abuse in healthcare claims are widespread in the U.S. healthcare system. They sap 8- 15% of annual health expenditures. The FBI has estimated that fraud alone accounts for 3-10% of health expenditures.

    What are the consequences of medical identity theft? ›

    If a patient's medical information has been stolen, it can be used to access medical insurance and accrue large medical bills resulting in collection agencies contacting you for payment. Medical debts can have disastrous effects on your credit, affecting your ability to get a job, a loan, or buy insurance.

    What are the consequences of medical coding fraud? ›

    Apart from financial penalties, legal consequences can arise from inaccurate coding and billing. Violating the Federal Civil False Claims Act can result in imprisonment, tarnishing healthcare providers' reputations, and damaging their patients' trust.

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