Part 1:Critical Analysis of the Law

1. Evaluate the legal risks and consequences that can arise for failing to comply with the laws that govern fraud and abuse. Evaluate the following laws.

• False Claims Act (FCA)
• Antikickback Statute (AKS)
• Physician Self-Referral Law (Stark law)

1. Evaluate 3 elements of the HHS OIG compliance protocol elements from the list below.For each element of the HHS OIG compliance, the protocol indicates the type of risk it will mitigate and how you would use each of the 3 elements as a risk mitigation tool.

• Implementing written policies, procedures, and standards of conduct
• Designating a compliance officer and compliance committee
• Conducting effective training and education
• Developing effective lines of communication
• Conducting internal monitoring and auditing
• Enforcing standards through well-publicized disciplinary guidelines
• Responding promptly to offenses and taking corrective action

1. How would a comprehensive compliance program that adopts the entire HHS OIG protocol limit fraud and abuse risk?How would a comprehensive compliance programprevent the problems in The Tracks we Leave, 10 Failed Hospital Merger: Richland River Valley Healthcare System?