Detection of Fraud, Waste, and Abuse

This document outlines the clinic's procedures for preventing, detecting, and addressing fraud, waste, and abuse in billing and reimbursement processes. It ensures compliance with federal and state laws, such as the Federal False Claims Act, and includes guidelines for proper documentation, billing, and coding practices. The policy also covers auditing procedures, reporting overpayments, and corrective actions to maintain compliance and prevent improper billing.