Physician Compliance

The Office of Inspector General (OIG) for the U.S. Department of Health & Human Services and CMS have created the educational materials listed below to assist in teaching physicians about the Federal laws designed to protect the Medicare and Medicaid programs and program beneficiaries from fraud, waste, and abuse.

Avoiding Medicare Fraud & Abuse: A Roadmap for Physicians

These materials summarize the five main Federal fraud and abuse laws (the False Claims Act, the Anti-Kickback Statute, the Stark Law, the Exclusion Statute, and the Civil Monetary Penalties Law) and provide tips on how physicians should comply with these laws in their relationships with payers (e.g., the Medicare and Medicaid programs), vendors (e.g., drug, biologic, and medical device companies), and fellow providers (e.g., hospitals, nursing homes, and physician colleagues).

For more information about the OIG and CMS resources available, to physicians, see the links below:

OIG Physician Resources
CMS Physician Resources