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THE SENTENCING GUIDELINES, THE COVID-19 PANDEMIC, AND HEALTHCARE FRAUD

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Author: 
*Donald L. Buresh, Ph.D., Esq.
Country: 
United States
Volume & Issue: 
Volume 05, Issue 08, August 2023
Page No: 
5044-5054
Abstract: 

The article begins by examining the compliance components of the United States Sentencing Commission Guidelines 2021 as well as the benefits of fostering an ethical corporate culture through employing a carrot-and-stick approach. The Covid-19 Pandemic is briefly discussed, where both physicians and patients are considered to be potential perpetrators, along with the effect of the pandemic on the workforce. Self-disclosure issues are described, where the steps to be taken to minimize a False Claims Act (FCA) violation are highlighted. Finally, the Stark Law (SL) and Anti-Kickback Statute (AKS) are examined

KeyWords: 
Anti-Kickback Statute, Covid-19 Pandemic, False Claims Act, Healthcare Fraud, Overbilling, Patient Fraud, Physician Fraud, Stark Law.