Magazine article Information Today , Vol. 14, No. 6
CCH, Inc. has announced the release of CCH Health Care Fraud and Abuse on CD-ROM, a tool to assist and help ensure compliance for health-care providers, managed care organizations, physicians, and the professionals who advise them.
CCH, a provider of health law information and software, created CCH Health Care Fraud and Abuse Guide in response to increased concern and scrutiny of abuse, including an estimated $25 billion in Medicare fraud each year. At risk, in particular, are those health-care professionals who unknowingly violate complex reimbursement rules, health-care laws, and federal and state criminal laws; these professionals can be subject to thousands of dollars in fines or criminal conviction for noncompliance.
"Drastic and continual changes in federal and state laws over the last two years--without signs that the pace is slowing--have caused fear among healthcare professionals, making them very eager to obtain as much information as possible to guide them through this potentially costly legal maze," said Steve Rodgers, J.D., developer of the guide and a health-care law analyst at CCH Health and Human Resources.
The CCH Health Care Fraud and Abuse Guide incorporates CCH's expertise in tracking and in explaining and analyzing business law, including CCH Medicare and Medicaid Guide, which has covered the entitlement program since its inception in 1965.
According to the company, CCH Health Care Fraud and Abuse Guide provides complete coverage of federal and state fraud and abuse laws and regulations as well as expert explanations and timely coverage of trial and appellate court decisions, including definitive information on settlements. In addition, CCH Health Care Fraud and Abuse Guide is a one-stop resource for full-text source material and expert commentary.
"With health-care programs forming a larger and larger part of federal and state budgets, and with political leaders seeing 'fraud and abuse' as a great area to recoup government spending, it's not surprising that we're seeing some very aggressive tactics being used in this area--including the threat of criminal sanctions against offenders in addition to traditional civil penalties," said Rodgers.
The need for a wide-ranging guide is also spurred by the increasing complexity and rapid evolution of health-care delivery systems, creating an environment where numerous billing abuse issues can arise. …