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Patient Care Issues
Medicare Parts A B and C
Fraud and Abuse
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administrative agreement amount Anti-Kickback Statute antitrust apply arrangement assets beneficiaries benefit billing business of insurance Buyer claims clinical Code compensation contract corporate cost Court coverage decisions determine drugs durable medical equipment employees enrollees entity ERISA exempt facility False Claims Act federal fraud and abuse HCFA health insurance health maintenance organization health plan healthcare healthcare providers HHAs home health Hosp hospital individual inpatient intermediate sanctions issues items or services joint venture licensed licensure M+C organizations McCarran-Ferguson Act Medicaid medical staff Medicare Medicare program merger NAIC nursing operating outpatient participating parties patient payment person physician practitioners preemption preferred provider organization professional prohibition purchase referred regulations reimbursement requirements risk safe harbor Section specific standards Stark Law Stat suppliers supra note surrogacy tax-exempt telemedicine termination transaction treatment violation West Supp