FRAUD

Question 1

how to suspect transactions?

Answer 1

anything where the value of the relationship is based on the volume of referrals

anything where a physician is being paid by a referral recipient directly

Question 2

what is EMTALA abbreviation?

Answer 2

emergency medical tx and labor act, aka patient anti dumping statute based on:

presents at the dedicated ER department
request made for examinations
care based on appearance or behavior