FRAUD Flashcards
1
Q
how to suspect transactions?
A
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
2
Q
what is EMTALA abbreviation?
A
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
