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Survey Finds Many U.S. Medical Schools, Residencies Teach Medicare, Medicaid Compliance
HHS Plans to Develop, Distribute More Educational Resources
By News Staff
To facilitate those efforts, the OIG plans to develop and distribute more training materials on Medicare and Medicaid compliance issues, which should be good news to family medicine educators and family physicians with patients insured through the two government programs.
The materials "could provide medical schools and hospitals with a consistent starting point on which to build their training programs and would support OIG's efforts to promote voluntary compliance," the agency said in the executive summary.
The survey was completed by 131 medical school deans and 387 designated institution officials, or DIOs. According to the results, 44 percent of accredited allopathic and osteopathic medical schools and 68 percent of institutions offering residency and fellowship programs reported instructing students and trainees on Medicare and Medicaid fraud and abuse laws in 2010.
In medical schools, most instruction took place in the classroom and covered federal laws, such as the civil False Claims Act, which addresses fraudulent billing of the federal government; the anti-kickback statute, which involves influencing the referral of federal health care program business; and the physician self-referral statute, which prohibits physicians from referring patients to facilities in which they have a financial interest.
In the residency and fellowship programs, instruction most often was provided in conferences and lectures.
Greater percentages -- 92 percent of the medical school deans and 90 percent of the DIOs surveyed -- said they would be interested in OIG-provided instructional materials relating to Medicare and Medicaid fraud and abuse laws.
As a result, the OIG said that it will
- prepare educational materials appropriate for medical schools and institutions offering residency and fellowship programs;
- distribute the materials to the medical schools and institutions; and
- seek feedback from medical schools and institutions on ways to improve the materials, such as by including emerging compliance challenges that physicians, hospitals and other providers face.
HHS Issues Proposed Rule
Changes to Physician Medicare Enrollment Process Aimed at Preventing Fraud, Abuse
CMS Clarifies Signature Requirements for Medicare Participating Docs
AAFP Responds With New Resources for FPs
More From AAFP
Family Practice Management: "Medicare Enrollment: Staying in the Game Even When the Rules Change"
(March/April 2010; Members/Paid Subscribers Only)
HHS Office of Inspector General: "Medicare and Medicaid Fraud and Abuse Training in Medical Education"
(14-page PDF; About PDFs)