Frequently Asked Questions

What is Medicare and Medicaid Fraud and Abuse Coverage?

The Federal government has stepped up its enforcement of Medicare and Medicaid Fraud and Abuse laws. These laws govern billing the government for procedures under these programs. Billing in excess of what the government considers acceptable can result in significant penalties. Moreover, a government investigation under these rules can be costly even if a physician has fully complied with the rules and as with malpractice, the cost of defense of an investigation can be exorbitant. While this coverage does not rise to the level of "required," it should be considered by every practice, particularly high volume practices, to cover the costs of legal fees and fines.

As with any overview, this insurance information is general and intended to help you make informed decisions. The actual policies available in your state may contain features not discussed above. An insurance policy is a contract between you and an insurance company. You should read and understand any policy that you purchase. If you have any questions, have the company or insurance broker or agent take as much time as you need to explain policy terms to your satisfaction.

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